Applicability of Guideline-Based Aortic Intervention Thresholds in the Indian Population.

Nimrat Grewal^1,2, Mohammed Idhrees³, Jedidiah Samraj³, Bashi Velayudhan³

¹Amsterdam University Medical Center, University of Amsterdam, Department of Cardiothoracic Surgery, Netherlands, Amsterdam.

²Yale New Haven Hospital, Aortic Institute, Connecticut, United States, New Haven.

³SRM Institutes for Medical Science (SIMS Hospital), Institute of Cardiac and Aortic Disorders (ICAD), Tamil Nadu, India, Chennai.

PubMed DOI

Abstract

BACKGROUND: Clinical guidelines for thoracic aortopathy rely on absolute diameter thresholds to guide surveillance and prophylactic intervention. These thresholds, derived largely from Western cohorts, are applied globally, including in populations with smaller baseline vascular dimensions. METHODS: We performed a counterfactual, denominator-based analysis comparing the distribution of ascending…

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