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| Name | Class |
|---|---|
| Beijing Anzhen Hospital | OTHER |
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The goal of this observational study is to learn about the effect of different hypotensive drugs on the prognosis of postoperative aortic patients. The main question it aims to answer is:
Does different hypotensive drugs influence the prognosis of postoperative aortic patients? As participants already taking hypotensive drugs as part of their regular medical care, the investigators collect the participants' pre-operation medical record and post-operative follow-up record to evaluate the aorta condition.
This study is a cohort study that aims to explore the effects of different antihypertensive regimens on aortic remodelling in patients after aortic surgery by collecting the hospitalization and outpatient follow-up data. The study plans to gather perioperative and postoperative follow-up data from over 600 patients who underwent aortic surgery at the Eighth Affiliated Hospital and Beijing Anzhen Cardiothoracic Surgery Center. Patients were assigned based on the postoperative antihypertensive medication regimens. Datas was collected to compare the cardiovascular-related prognoses.
This study primarily includes patients who take oral antihypertensive medications after aortic surgery. The main observations will focus on postoperative complications related to the aorta (such as death, reoperation, dilation, etc.) and aortic diameters after the administration of different antihypertensive medications. Multivariate regression analysis will be employed to investigate the impact of different antihypertensive regimens on patients after aortic surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CCB group | Patients' postoperative antihypertensive includes CCB (Calcium Calcium Entry Blockers) |
| |
| non-CCB group | Patients' postoperative antihypertensive does not include CCB |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CCB use | Drug | Postoperative antihypertensive medication includes CCB |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Aortic diameter | The maximum diameter of the aorta measured by computed tomography angiography | Through the study completion, on an average of 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with adverse aortic event | Postoperative adverse aortic event during follow-up, including aortic related death or reoperation | Through the study completion, on an average of 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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From January 1, 2017 to December 1, 2023, 704 patients with hypertention underwent aortic surgery in the institutions. These patients have complete medical records and follow-up data.
The investigators need to consult with the IRB committee.
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| ID | Term |
|---|---|
| D001014 | Aortic Aneurysm |
| D000784 | Aortic Dissection |
| ID | Term |
|---|---|
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001018 | Aortic Diseases |
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| non-CCB use |
| Drug |
Postoperative antihypertensive medication does not include CCB |
|
| D000094665 |
| Dissection, Blood Vessel |
| D000094683 | Acute Aortic Syndrome |