Evidence map›Paper›PMID 31018236›Full record

ArticleAorta (Stamford, Conn.)2018

Head and Neck Pain in Patients Presenting with Acute Aortic Dissection.

Stephen Philip, Emil Missov, Dan Gilon, Stuart Hutchison, Ali Khoynezhad, Arturo Evangelista, Mark Bonaca, Lori Conklin, Jehangir Appoo, Marco Di Eusanio and 6 more

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Article in Aorta (Stamford, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Stephen PhilipDepartment of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Emil MissovDepartment of Internal Medicine, University of Minnesota Physicians Heart Practice, Minneapolis, Minnesota.
Dan GilonDepartment of Non-invasive Cardiology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Stuart HutchisonLibin Cardiovascular Institute, University of Calgary Medical Centre, Calgary, Canada.
Ali KhoynezhadDepartment of Cardiovascular Surgery, Long Beach Medical Center, Los Angeles, California.
Arturo EvangelistaDepartment of Cardiology, Hospital General Universitari Vall D'hebron, Barcelona, Spain.
Mark BonacaDepartment of Cardiovascular Medicine, Brigham & Women's Hospital, Boston, Massachusetts.
Lori ConklinDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia.
Jehangir AppooLibin Cardiovascular Institute, University of Calgary Medical Centre, Calgary, Canada.
Marco Di EusanioDepartment of Cardiovascular Surgery, Ospedali Riuniti Ancona, Ancona, Italy.
Alan BravermanDeparment of Cardiology, Washington University, School of Medicine, St. Louis, Missouri.
Alberto FortezaDepartment of Cardiac Surgery, Hospital Universitario Puerta De Hierro, Madrid, Spain.
Daniel MontgomeryDepartment of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan.
Christoph NienaberCardiology and Aortic Centre, The Royal Brompton & Harefield Nhs Trust, London, United Kingdom.
Eric IsselbacherThoracic Aortic Center, Massachusetts General Hospital, Boston, Massachusetts.
Kim EagleDepartment of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHead and neck pain is an atypical presentation of acute aortic dissection. Classic teaching associates this pain with proximal dissections, but this has not been extensively studied.

methodsPatients enrolled in the International Registry of Acute Aortic Dissection from January 1996 to March 2015 were included in this study. We analyzed the demographics, presentation, treatment, and outcomes of Type A aortic dissection patients presenting with head and neck pain (

resultsPatients with head and neck pain were more likely to be white, female, with a family history of aortic disease. Patients with head and neck pain had higher percentages of back pain (43.3% vs. 37.5%,

conclusionPresence of head and neck pain in Type A dissection is associated with more arch involvement, intramural hematoma, and stroke. When isolating those with head and neck pain only, there appear to be a higher rate of comorbidity burden and higher overall mortality.

Identifiers

PMID31018236
PMCPMC6482025

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