Background
Methods
Patients
Imaging techniques
Management
Follow-up protocol
Statistical analysis
Results
Patient characteristics
Category | IMH (n = 21) | PAU-IMH (n = 50) | P value |
---|---|---|---|
Background | |||
Age, y (mean ± SD) | 56.3 ± 11.4 | 65.2 ± 9.2 | < 0.001 |
Male/Female | 18/3 | 42/8 | > 0.99 |
Smoking, n(%) | 11(52.4%) | 27(54.0%) | 0.901 |
Hypertension | 12(57.1%) | 26(52.0%) | 0.692 |
Coronary heart disease | 0 | 5(10.0%) | 0.312 |
Congenital heart disease | 1(4.8%) | 2(4%) | > 0.99 |
Diabetes | 1(4.8%) | 8(16.0%) | 0.194 |
Hyperlipemia | 1(4.8%) | 1(2%) | 0.507 |
Pregnancy | 0 | 1(2%) | > 0.99 |
History | |||
History of AoDa | 2(9.5%) | 7(14%) | 0.605 |
History of any surgery | 0 | 6(12%) | 0.170 |
Initial symptoms and comorbidities
Category | IMH (n = 21) | PAU-IMH (n = 50) | P value |
---|---|---|---|
Associate pain, n(%) | |||
Chest pain | 14(66.7%) | 24(48%) | 0.196 |
Abdominal pain | 4(19%) | 12(24%) | 0.649 |
Back pain | 12(57.1%) | 26(52%) | 0.692 |
Waist pain | 4(19%) | 9(18%) | > 0.99 |
None | 0 | 13(26%) | 0.007 |
Chest distress | 4(19.0%) | 4(8.0%) | 0.179 |
Aortic regurgitation | 0 | 0 | |
Pericardial effusion | 1(1.4%) | 0 | 0.296 |
Myocardial ischemia | 1(1.4%) | 4(8.0%) | > 0.99 |
Dyspnea | 2(9.5%) | 4(8.0%) | > 0.99 |
Spinal cord ischemia | 1(4.8%) | 1(2.0%) | 0.507 |
Syncope | 0 | 1(2.0%) | > 0.99 |
Hemothorax | 0 | 1(2.0%) | > 0.99 |
No symptom | 0 | 7(14.0%) | 0.096 |
Treatment
Prognosis
Variable | Progression (n = 16) | Regression/Stable (n = 55) | HR | 95% CI | P | |
---|---|---|---|---|---|---|
Age | 63.3 ± 11.3 | 62.3 ± 10.5 | 0.993 | 0.929 | 1.062 | 0.842 |
Surgery | 9(56.3%) | 37(67.3%) | 0.123 | 0.032 | 0.478 | 0.002 |
PAU | 15(93.8%) | 35(63.6%) | 16.68 | 1.960 | 141.870 | 0.010 |
MAD | 44.3 ± 8.8 | 40.0 ± 7.7 | 1.096 | 1.016 | 1.182 | 0.017 |
MHT | 13.2 ± 6.9 | 12.7 ± 6.8 | 0.931 | 0.851 | 1.018 | 0.114 |
Variable | Progression (n = 15) | Regression/Stable (n = 35) | HR | 95% CI | P | |
---|---|---|---|---|---|---|
Age | 62.6 ± 11.3 | 66.3 ± 8.1 | 0.965 | 0.900 | 1.034 | 0.312 |
Surgery | 9(60.0%) | 31(88.6%) | 0.172 | 0.042 | 0.696 | 0.014 |
MAD | 44.3 ± 9.1 | 41.4 ± 9.0 | 1.04 | 1.021 | 1.194 | 0.014 |
MHT | 13.1 ± 7.1 | 13.7 ± 8.0 | 0.929 | 0.846 | 1.020 | 0.121 |