Prevalence and mortality rate of arterial aneurysm and dissection in yazd, iran; a cross-sectional study between ۲۰۱۱ and ۲۰۱۷

Objectives: An aneurysm or aortic dissection occurs when the walls of the blood vessels lose their initial strength, resulting in a middle layer gap between elastic and smooth muscle fibers. Approximately۹۵% of individuals with an aneurysm indicate no symptoms until a rupture occurs, which is life-threatening. Methods: The current research is a cross-sectional study carried out on ۱۰۰ patients who were hospitalized in Shahid Sadoughi and Afshar hospitals in Yazd, Iran, with confirmed diagnoses of arterial aneurysm or dissection between ۲۰۱۱ and ۲۰۱۷. Individuals with aneurysms caused by dialysis-related shunts were not included. The study evaluated demographic and clinical factors along with their respective outcomes. Data analysis was performed utilizing SPSS software version ۱۷ through chi-square and Fisher exact tests. Results: Seventy-one patients (۷۱%) were male, and patients aged over ۶۰ accounted for approximately ۵۳%. Abdominal aortic aneurysm was the most prevalent at ۲۷%. The aneurysm was located in the Femoral artery in ۲۳% of patients and in the ascending aorta artery in ۱۲%. Dissection was diagnosed in ۲۷% of patients, all of which occurred in the aortic artery. Coronary artery disease was reported by ۴۱ patients (۶۰.۳%). The distribution of patient outcomes based on the location of the aneurysm and dissection was statistically significant (p value: ۰.۰۰۲). Conclusions: The characteristics of the arterial aneurism population in our findings were similar to previous studies. Coronary artery disease was the most prevalent comorbidities, and men's gender was dominant. Also, the abdominal aortic and femoral artery was the most prevalent location of aneurysm.

کلیدواژه ها:

dissection ، Outcome ، death ، aortic disease ، aortic aneurysm ، peripheral artery disease