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BMC Surgery

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Open Access 01-12-2005 | Research article

Is there a relationship between weather conditions and aortic dissection?

Authors: Costa Repanos, Neil K Chadha

Published in: BMC Surgery | Issue 1/2005

Abstract

Background

Bleeding and rupture of blood vessels has been correlated with weather conditions in the past. This is the first study in the world literature with the aim of investigating the relationship between atmospheric pressure and temperature with the presentation of aortic dissection.

Methods

The dates of all emergency aortic dissection repairs from 1996–2002 in a regional cardiothoracic unit at Blackpool Victoria Hospital were obtained. Hourly temperature and pressure data from a regional weather station for this time period was supplied by the Meteorological Office. The mean and standard deviation of hourly temperature and pressure data for that month were compared to the mean and standard deviation of the data 24 and 48 hours prior to the aortic dissection.

Results

26 patients were found to have been operated on during the time period studied. There was no statistically significant correlation between temperature or atmospheric pressure readings, and the incidence of aortic dissection, using a Bonferonni-corrected significance p-value of 0.005

Conclusion

This study is the first to examine the relationship between atmospheric pressure, temperature and dissecting thoracic aorta. No statistically significant relationship was demonstrable.

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Shennan T: Dissecting aneurysms. Medical Research Council (Great Britain). Special report series. No 193. 1934, London: His Majesty's Stationery Office 13f

Lansmann SL, Raissi S, Ergin MA, Griepp RB: Urgent operation for acute transverse aortic arch dissection. J Thorac Cardiovasc Surg. 1989, 97: 334-41.

Goodwin J, Pearce VR, Taylor RS, Read KLQ, Powers SJ: Seasonal cold and circadian changes in blood pressure and physical activity in young and elderly people. Age and Ageing. 2001, 30: 311-317. 10.1093/ageing/30.4.311.CrossRefPubMed

Minami J, Kawano Y, Ishimitsu T, Yoshimi H, Takishita S: Seasonal variations in office, home, and 24 h ambulatory blood pressure in patients with essential hypertension. J Hyperten. 1996, 14: 1421-1425.CrossRef

Manfredini R, Portaluppi F, Salmi R, Zamboni P, La Cecilia O, Kuwornu Afi H, Regoli F, Bigoni M, Gallerani M: Seasonal variation in the occurrence of non-traumatic rupture of thoracic aorta. Am J Emerg Med. 1999, 17 (7): 672-4. 10.1016/S0735-6757(99)90156-0.CrossRefPubMed

Upshur RE, Mamdani MM, Knight K: Are there seasonal patterns to ruptured aortic aneurysms and dissections of the aorta?. Eur J Vasc Endovasc Surg. 2000, 20 (2): 173-6. 10.1053/ejvs.2000.1139.CrossRefPubMed

Sterpetti AV, Cavallari N, Allegrucci P, Agosta F, Cavallaro A: Seasonal variation in the incidence of ruptured abdominal aortic aneurysm. J R Coll Surg Edinb. 1995, 40 (1): 14-5.PubMed

Bown MJ, McCarthy MJ, Bell PR, Sayers RD: Low atmospheric pressure is associated with rupture of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2003, 25 (1): 68-71. 10.1053/ejvs.2002.1798.CrossRefPubMed

Buxton N, Liu C, Dasic D, Moody P, Hope DT: Relationship of aneurysmal subarachnoid haemorrhage to changes in atmospheric pressure: results of a prospective study. J Neurosurg. 2001, 95: 391-392.CrossRefPubMed

10.

Schievink WI, Wijdicks EF, Kuiper JD: Seasonal pattern of spontaneous cervical artery dissection. J Neurosurg. 1998, 89 (1): 101-3.CrossRefPubMed

11.

Ballaro A, Cortina-Borja M, Collin J: A seasonal variation in the incidence of ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 1998, 15 (5): 429-31. 10.1016/S1078-5884(98)80205-0.CrossRefPubMed

12.

Varty K, Reid A, Jagger C, Bell PR: Vascular emergencies: what's in season?. Cardiovasc Surg. 1995, 3 (4): 409-11. 10.1016/0967-2109(95)94160-X.CrossRefPubMed

13.

Kurtoglu M, Yanar H, Aksoy M: Seasonality in the incidence of abdominal aortic aneurysm ruptures: a review of eight years. Ulus Travma Derg. 2004, 10 (1): 39-41.

14.

Burnett RW, Itano M: An interlaboratory study of blood-gas analysis: dependence of pO₂ and pCO₂ results on atmospheric pressure. Clin Chem. 1989, 35: 1779-17981.PubMed

15.

Noller KL, Resseguie LJ, Voss V: The effect of changes in atmospheric pressure on the occurrence of the spontaneous onset of labour in term pregnancies. Am J Obstet Gynecol. 1996, 174: 1192-1197.CrossRefPubMed

16.

Williams GM, Gott VL, Brawley RK, Schauble JF, Labs JD: Aortic disease associated with pregnancy. J Vasc Surg. 1988, 8 (4): 470-5. 10.1067/mva.1988.avs0080470.CrossRefPubMed

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2482/5/21/prepub

Title: Is there a relationship between weather conditions and aortic dissection?
Authors: Costa Repanos
Neil K Chadha
Publication date: 01-12-2005
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2005
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/1471-2482-5-21

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Is there a relationship between weather conditions and aortic dissection?

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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