Mid-term follow up after an acute aortic syndrome episode: when the storm is over

• DOI: 10.1093/ehjacc/zuaf044.210
• Publication Date: 2025-04-23T11:06:53Z
• Authors: I Ramos Gonzalez-...; C F Ferrera Duran; A Carrero Fernandez; P Munoz Sahagun; J Gonzalez Del Ca...; M L Navarro Garcia; E Alvarez Rodriguez; I Martinez Lopez; J Cobiella Carnicer; M Hernandez Mateo; S M Da Rosa Beltrao; J Perez Villacast...; L Maroto Castellanos; I Vilacosta
• Keywords: Acute aortic syndrome

Abstract Introduction High morbidity and mortality associated with acute aortic syndrome (AAS) reinforces the need for close expert professional’s follow-up. However, guidelines do not specify how often or what complementary tests during this process should be performed. The aim of present study was to analyse prognosis patients who survived AAS phase, describing comorbidities, complications, short- mid-term mortality. Methods We collected prospectively consecutively diagnosis treated in a tertiary hospital from 2019 2024. At discharge, follow-up specific pathology monographic clinic proposed. Follow up divided into three period times: 6 months, 1 year 2 years. Clinical, analytical, imaging, therapeutic prognostic variables were collected. A descriptive analysis complications Results 132 Patients included period, whom 78 (60%) continued followed at discharge: 53 (68%) type 25 (32%) B AAS. Throughout most them evaluated (Table). numerous presented more mid- long-term complications: among these, renal failure electrocardiogram conduction disturbances frequent. quarter remained symptomatic months after earlier improvement proportion requiring reintervention low In addition, equally low, reaching less than 10% 0% 2-year (Table 1). Finally, causes non-cardiovascular non-related majority cases. Conclusions Although evolution is extent once phase has overcome, cardiovascular medium- low. regard, by specialized clinicians essential, given complexity cases multidisciplinary evaluation.