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Publication Type
Journal Article
UWI Author(s)
Author, Analytic
Coard, Kathleen C.; Skeete, D.
Author Affiliation, Ana.
Department of Pathology
Article Title
Aortic Dissection at the University Hospital of the West Indies, 1989-2002: An Evaluation of Autopsied Cases [Abstract]
Medium Designator
n/a
Connective Phrase
n/a
Journal Title
West Indian Medical Journal
Translated Title
n/a
Reprint Status
Refereed
Date of Publication
2003
Volume ID
52
Issue ID
Suppl. 6
Page(s)
35-36
Language
n/a
Connective Phrase
n/a
Location/URL
n/a
ISSN
0043-3144
Notes
n/a
Abstract
Objective: An analysis of the frequency and pathologic features of Aortic dissection (AD) in the autopsy service at the University Hospital of the West Indies (UHWI) was conducted 15 years ago. Since then, it has been our impression that this condition has increased in frequency. The purpose of this study was to re-examine the frequency and pathology of AD, to validate that impression. Method: Retrospectively, we identified all cases of AD from our pathology post-mortem records during the period since the last study in 1998. From these, we collected demographic data and pathologic features identified at autopsy. Conclusions: Compared to the previous study, there has been an increased incidence of AD in the autopsy service of the UHWI. Changes in the patient profile included a reversal of the female predominance seen previously and an increased incidence of rupture to Type B dissections. Although the correct diagnosis was more often made, the overall prognosis has been unaffected. This information, therefore, suggests that, despite the recent advances in the treatment of hypertension, there has been an increase locally in the frequency of this lethal complication. The increased frequency in diagnosis will exert increasing pressure for surgical intervention.....
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