Acute XXXX and pregnancy: a population-based study.

@entity1 @entity697 @entity944 @entity1167 @entity1580
OBJECTIVE: Pregnancy has been reported to be an independent risk factor for 50% of @entity697 recorded in @entity1 younger than 45 years of age. The present epidemiologic study aimed to identify whether this putative association of pregnancy and acute type A dissection could be an artifact of selective reporting. METHODS: This population-based study was conducted in the City of Vienna, Austria, Europe, in an average female population of 34,1381 @entity1 in the age range of 15-45 years who were followed up between 1994 and 2004 (total of 3755.195 @entity1 -years of observation). During this study, the incidence, management, and outcome of acute type A dissection were determined. RESULTS: Fifteen @entity1 (mean age: 38.8 years, SD: 4.8) with @entity697 were identified, and an overall incidence of 0.4 case per 100000 @entity1 -years was estimated. The prehospital mortality rate was recorded to be 53%. Six @entity1 , including two @entity1 in late pregnancy (incidence: 0.05 cases per 100000 @entity1 -years), were treated successfully by surgical repair during deep hypothermic @entity1167 (in-hospital mortality rate: 6.6%). Pregnancy and @entity1580 were identified as events that were not related (RR: 3.27; 95% confidence interval (CI): 0.82-12.95; P=0.14). Observation during long-term follow-up was uneventful. CONCLUSIONS: Acute @entity1580 represents a rare pathology in @entity1 younger than 45 years of age; however, it is associated with a high rate of @entity944 . Pregnancy may not be a risk factor for this life-threatening vascular emergency. Immediate referral to surgery, even during pregnancy, will result in a prognosis of favorable outcome.
