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Once after a full moon : acute type A aortic dissection and lunar phases

Bjursten, Henrik (author)
Lund University,Lunds universitet,Skonsammare hjärtkirurgi,Forskargrupper vid Lunds universitet,Less invasive cardiac surgery,Lund University Research Groups,Skåne University Hospital
Oudin Åström, Daniel (author)
Umeå University,Lund University,Lunds universitet,Umeå universitet,Avdelningen för hållbar hälsa,Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden,Planetär hälsa,Forskargrupper vid Lunds universitet,Planetary Health,Lund University Research Groups
Nozohoor, Shahab (author)
Lund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital
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Ahmad, Khalil (author)
Department of Thoracic and Cardiovascular Surgery, Aarhus University Hospital, Skejby, Denmark
Tang, Mariann (author)
Department of Thoracic and Cardiovascular Surgery, Aarhus University Hospital, Skejby, Denmark
Bjurbom, Markus (author)
Karolinska Institutet
Hansson, Emma C., 1985 (author)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrenska University Hospital
Jeppsson, Anders, 1960 (author)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrenska University Hospital
Joost Holdflod Møller, Christian (author)
Department of Cardiothoracic Surgery, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Jormalainen, Miko (author)
Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland,Helsinki University Central Hospital
Juvonen, Tatu (author)
Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland; Research Unit of Surgery, Anesthesia, and Critical Care, University of Oulu, Oulu, Finland,Helsinki University Central Hospital
Mennander, Ari (author)
Heart Centre, Tampere University Hospital and University of Tampere, Tampere, Finland
Olsen, Peter S. (author)
Department of Cardiothoracic Surgery, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen, Denmark,Copenhagen University Hospital
Olsson, Christian (author)
Karolinska Institutet
Ahlsson, Anders (author)
Karolinska Institutet
Oudin, Anna (author)
Umeå University,Lund University,Lunds universitet,Umeå universitet,Avdelningen för hållbar hälsa,Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden,Planetär hälsa,Forskargrupper vid Lunds universitet,Planetary Health,Lund University Research Groups
Pan, Emily (author)
Department of Surgery, Central Finland Central Hospital, Jyväskylä, Finland; Turku University Hospital, Turku, Finland
Raivio, Peter (author)
Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland,Helsinki University Central Hospital
Wickbom, Anders, 1987- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery, Orebro University Hospital and Faculty of Medicine and Health, Orebro University, Sweden
Sjögren, Johan (author)
Lund University,Lunds universitet,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital
Geirsson, Arnar (author)
Section of Cardiac Surgery, Yale University School of Medicine, New Haven, CT, USA; Department of Cardiothoracic Surgery, Landspitali University Hospital and Faculty of Medicine, University of Iceland, Reykjavik, Iceland,Section of Cardiac Surgery, Yale University School of Medicine, CT, New Haven, United States; Department of Cardiothoracic Surgery, Landspitali University Hospital and Faculty of Medicine, University of Iceland, Reykjavik, Iceland,National University Hospital of Iceland
Gudbjartsson, Tomas (author)
Department of Cardiothoracic Surgery, Landspitali University Hospital and Faculty of Medicine, University of Iceland, Reykjavik, Iceland,National University Hospital of Iceland
Zindovic, Igor (author)
Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital
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 (creator_code:org_t)
2021-08-27
2022
English.
In: Interactive Cardiovascular and Thoracic Surgery. - : Oxford University Press. - 1569-9293 .- 1569-9285. ; 34:1, s. 105-110
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVES: Acute type A aortic dissection (ATAAD) is a rare but severe condition, routinely treated with emergent cardiac surgery. Many surgeons have the notion that patients with ATAAD tend to come in clusters, but no studies have examined these observations. This investigation was undertaken to study the potential association between the lunar cycle and the incidence of ATAAD.METHODS: We collected information on 2995 patients who underwent ATAAD surgery at centres from the Nordic Consortium for Acute Type A Aortic Dissection collaboration. We cross-referenced the time of surgery with lunar phase using a case-crossover design with 2 different definitions of full moon (>99% illumination and the 7-day full moon period).RESULTS: The period when the moon was illuminated the most (99% definition) did not show any significant increase in incidence for ATAAD surgery. However, when the full moon period was compared with all other moon phases, it yielded a relative risk of 1.08 [95% confidence interval (CI) 1.00-1.17, P = 0.057] and, compared to waxing moon, only the relative risk was 1.11 (95% CI 1.01-1.23, P = 0.027). The peak incidence came 4-6 days after the moon was fully illuminated.CONCLUSIONS: This study found an overrepresentation of surgery for ATAAD during the full moon phase. The explanation for this is not known, but we speculate that sleep deprivation during full moon leads to a temporary increase in blood pressure, which in turn could trigger rupture of the aortic wall. While this finding is interesting, it needs to be corroborated and the clinical implications are debateable.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Dissection of the aorta
Moon
Dissection of the aorta
Moon

Publication and Content Type

ref (subject category)
art (subject category)

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