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Blood Pressure Control for the Patients with Blunt Aortic Trauma

Department of Cardiothoracic Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA

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This letter refers to the article by Lancey et al in the Asian Cardiovascular and Thoracic Annals, entitled "Factors affecting early exsanguination and death in blunt traumatic aortic trauma".¹ They reviewed 80 patients who sustained aortic blunt trauma over a 20-year period. Since their findings are very confusing, I would like to ask several questions to understand their study better.

1. The studied patients appeared to be consecutive patients coming into the emergency department (ED) with a diagnosis of blunt aortic trauma, because there were no exclusion criteria described in this study. The report included patients who had come to the ED with no blood pressure (BP) and never regained, because the authors indicated that admission systolic BP ranges were 0–200 mm Hg and maximum systolic BP ranges . . . [Full Text of this Article]