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Table 2 Clinical Presentations, Signs, Diagnostic Imaging Examination, Laboratory findings on admission and Classification of Patients With Acute Aortic Dissection

From: Differences in the clinical presentation, management, and in-hospital outcomes of acute aortic dissection in patients with and without end-stage renal disease

Variable

Overall

ESRD

No ESRD

P

Clinical Presentations and Signs

 Typical pain (%)

165 (76.0)

43 (60.6)

122 (83.6)

<0.001

 Atypical pain (%)

23 (10.6)

15 (21.1)

8 (5.5)

<0.001

 Focal neurological deficits (%)

5 (2.3)

2 (2.8)

3 (2.1)

1.0

 Other symptoms (%)

15 (6.9)

5 (7.0)

10 (6.8)

1.0

 With no symptom (%)

9 (4.1)

6 (8.5)

3 (2.1)

0.064

 Hypotension (%)

4 (1.8)

2 (2.8)

2 (1.4)

0.837

 Mean systolic BP (SD), mmHg

156.9 (28.7)

161.9 (27.4)

154.4 (29.1)

0.069

 Systolic BP over 180 mmHg(%)

51 (23.5)

23 (32.4)

28 (19.2)

0.031

 Mean diastolic BP (SD), mmHg

86.7 (20.7)

89.2 (20.3)

85.5 (20.9)

0.223

 Heart rate (SD), beats/min

81.3 (16.2)

81.7 (17.9)

81.1 (15.4)

0.796

Diagnostic Imaging

 Echocardiography (%)

5 (2.3)

1 (1.4)

4 (2.7)

0.896

 Computerized tomography (%)

202 (93.1)

65 (91.5)

137 (93.8)

0.736

 Magnetic resonance imaging (%)

8 (3.7)

5 (7.0)

3 (2.1)

0.148

 Aortography (%)

2 (0.9)

0 (0)

2 (1.4)

1.0

Laboratory findings on admission

 SCr (SD), umol/L

346.9 (444.0)

887.7 (407.5)

83.9 (24.2)

<0.001

 WBC (SD), 10^9 /L

10.4 (4.2)

7.9 (3.0)

11.6 (4.2)

<0.001

 PLT (SD), 10^9 /L

199 (90.3)

170 (92.8)

213 (86.0)

<0.001

Classification of aortic dissection

 Stanford type A (%)

75 (34.6)

17 (23.9)

58 (39.7)

0.022

 Stanford type B (%)

142 (65.4)

54 (76.1)

88 (60.3)

 
  1. ESRD End-stage renal disease; Typical pain: include chest pain, abdominal pain, and back pain, which is described as sharp or ripping pain particularly that with an abrupt or migrating nature; Atypical pain: physical pain except for typical pain