Chronobiological variations of acute aortic dissection in a Northwest Chinese population
Abstract Background The prevalence of acute aortic dissection (AAD) has been gradually increasing in recent years. This study aimed to investigate the circadian variations of AAD onset in a northwest Chinese population and provide scientific insights for AAD prevention. Methods The clinical data of...
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BMC
2024-12-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03181-0 |
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| author | Ermek Tangsakar Rinat Imamu Aybek Nabi Dongqing Chang Yongzhong Guo |
| author_facet | Ermek Tangsakar Rinat Imamu Aybek Nabi Dongqing Chang Yongzhong Guo |
| author_sort | Ermek Tangsakar |
| collection | DOAJ |
| description | Abstract Background The prevalence of acute aortic dissection (AAD) has been gradually increasing in recent years. This study aimed to investigate the circadian variations of AAD onset in a northwest Chinese population and provide scientific insights for AAD prevention. Methods The clinical data of 1,145 AAD patients admitted to our hospital between January 2010 and December 2020 were retrospectively collected, and the periodic features of AAD were analyzed. Results Stanford type A and type B AAD were present in 58.43% (669 cases) and 41.57% (476 cases) of the patients, respectively. The incidence rate was highest in the winter (358 cases, 31.27%) and lowest in the summer (225 cases, 19.65%). AAD occurred at the highest rate between 19:00–24:00 (321 cases, 28.03%) and the lowest rate between 1:00–6:00 (247 cases, 21.57%). Stanford type A AAD was most prevalent in the winter and the least prevalent in the spring, whereas Stanford type B AAD was most prevalent in the winter and the least prevalent in the summer. The difference between type A and type B in seasonal distribution was significant in spring (χ2 = 17.666, P < 0.001) and summer (χ2 = 6.228, P = 0.013). Stanford type A cases appeared most during 19:00–24:00 (236 cases, 35.28%) and least during 13:00–18:00 (73 cases, 10.91%), while Stanford type B cases appeared most during 13:00–18:00 (239 cases, 50.21%) and least during 1:00–6:00 (60 cases, 12.61%). The difference between type A and type B in period distribution was significant in all periods of time. Conclusions AAD onset followed a chronobiological pattern in patients from northwest China, with winter and 19:00–24:00 being the peak season and time period of AAD occurrence, respectively. |
| format | Article |
| id | doaj-art-7cf10b709b2a4d14a104feca11ed4702 |
| institution | OA Journals |
| issn | 1749-8090 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-7cf10b709b2a4d14a104feca11ed47022025-08-20T02:32:03ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911610.1186/s13019-024-03181-0Chronobiological variations of acute aortic dissection in a Northwest Chinese populationErmek Tangsakar0Rinat Imamu1Aybek Nabi2Dongqing Chang3Yongzhong Guo4Heart and Panvascular Diseases Medicine Treatment Center, People’s Hospital of Xinjiang Uygur Autonomous RegionHeart and Panvascular Diseases Medicine Treatment Center, People’s Hospital of Xinjiang Uygur Autonomous RegionHeart and Panvascular Diseases Medicine Treatment Center, People’s Hospital of Xinjiang Uygur Autonomous RegionHeart and Panvascular Diseases Medicine Treatment Center, People’s Hospital of Xinjiang Uygur Autonomous RegionHeart and Panvascular Diseases Medicine Treatment Center, People’s Hospital of Xinjiang Uygur Autonomous RegionAbstract Background The prevalence of acute aortic dissection (AAD) has been gradually increasing in recent years. This study aimed to investigate the circadian variations of AAD onset in a northwest Chinese population and provide scientific insights for AAD prevention. Methods The clinical data of 1,145 AAD patients admitted to our hospital between January 2010 and December 2020 were retrospectively collected, and the periodic features of AAD were analyzed. Results Stanford type A and type B AAD were present in 58.43% (669 cases) and 41.57% (476 cases) of the patients, respectively. The incidence rate was highest in the winter (358 cases, 31.27%) and lowest in the summer (225 cases, 19.65%). AAD occurred at the highest rate between 19:00–24:00 (321 cases, 28.03%) and the lowest rate between 1:00–6:00 (247 cases, 21.57%). Stanford type A AAD was most prevalent in the winter and the least prevalent in the spring, whereas Stanford type B AAD was most prevalent in the winter and the least prevalent in the summer. The difference between type A and type B in seasonal distribution was significant in spring (χ2 = 17.666, P < 0.001) and summer (χ2 = 6.228, P = 0.013). Stanford type A cases appeared most during 19:00–24:00 (236 cases, 35.28%) and least during 13:00–18:00 (73 cases, 10.91%), while Stanford type B cases appeared most during 13:00–18:00 (239 cases, 50.21%) and least during 1:00–6:00 (60 cases, 12.61%). The difference between type A and type B in period distribution was significant in all periods of time. Conclusions AAD onset followed a chronobiological pattern in patients from northwest China, with winter and 19:00–24:00 being the peak season and time period of AAD occurrence, respectively.https://doi.org/10.1186/s13019-024-03181-0Acute aortic dissectionChronobiological patternsNorthwest ChinaIncidence rate |
| spellingShingle | Ermek Tangsakar Rinat Imamu Aybek Nabi Dongqing Chang Yongzhong Guo Chronobiological variations of acute aortic dissection in a Northwest Chinese population Journal of Cardiothoracic Surgery Acute aortic dissection Chronobiological patterns Northwest China Incidence rate |
| title | Chronobiological variations of acute aortic dissection in a Northwest Chinese population |
| title_full | Chronobiological variations of acute aortic dissection in a Northwest Chinese population |
| title_fullStr | Chronobiological variations of acute aortic dissection in a Northwest Chinese population |
| title_full_unstemmed | Chronobiological variations of acute aortic dissection in a Northwest Chinese population |
| title_short | Chronobiological variations of acute aortic dissection in a Northwest Chinese population |
| title_sort | chronobiological variations of acute aortic dissection in a northwest chinese population |
| topic | Acute aortic dissection Chronobiological patterns Northwest China Incidence rate |
| url | https://doi.org/10.1186/s13019-024-03181-0 |
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