The TRAIN Health Awareness Clinical Trial: Baseline Findings and Cardiovascular Risk Management in Aortic Dissection Patients

Figures

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  Fig. 1. Baseline cardiovascular risk factors of ATAAD patients. This figure provides a detailed overview of the prevalence of various cardiovascular risk factors among ATAAD patients, including hypertension, obesity, physical inactivity, smoking, hyperlipidemia, diabetes, and sleep problems. The high prevalence of these modifiable risk factors highlights the urgent need for comprehensive risk management strategies to improve patient outcomes. ATAAD, acute Type A aortic dissection.

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  Fig. 2. Importance of lifestyle interventions in the treatment of thoracic aortopathy according to surgeons. This figure illustrates the distribution of surgeons' opinions on the importance of various lifestyle interventions, such as dietary changes, physical activity, and smoking cessation, in managing thoracic aortopathy. The majority of surgeons rated these interventions as important or very important, underscoring their perceived value in improving patient outcomes.

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  Fig. 3. Barriers faced by surgeons in implementing lifestyle interventions in patients with thoracic aortopathy. This figure identifies the main challenges surgeons encounter when trying to implement lifestyle interventions for their patients. Common barriers include patient adherence, lack of resources, insufficient evidence, cultural barriers, and other unspecified issues. Understanding these barriers is crucial for developing effective strategies to support lifestyle modifications in clinical practice.

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  Fig. 4. Specific lifestyle interventions that surgeons find most challenging to implement in patients with thoracic aortopathy. This figure highlights the specific lifestyle changes that surgeons find difficult to enforce, such as dietary changes, exercise regimens, stress management, smoking cessation, and alcohol reduction. Smoking cessation and stress management were identified as particularly challenging, indicating areas where additional support and resources may be needed.

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  Fig. 5. Protocol of the Health Awareness Clinical Trial. This figure outlines the structure, key components, and timeline of the TRAIN Health Awareness Clinical Trial. The trial includes: (1) patient engagement strategies: utilizing eHealth technologies for real-time tracking and educational materials. (2) Continuous monitoring: regular follow-ups and remote monitoring of cardiovascular risk factors. (3) Personalized interventions: tailored lifestyle modification plans including diet, exercise, and smoking cessation. (4) Multidisciplinary approach: collaboration among various healthcare professionals to provide comprehensive care. (5) Health quality improvement program: structured program aimed at reducing risk factors and enhancing quality of life. The timeline spans from initial patient enrollment and baseline assessments, through continuous monitoring and intervention phases, to follow-up evaluations at 6 weeks, 3 months, and 6 months of postintervention. The goal of the trial is to improve postoperative outcomes and quality of life for ATAAD patients through a holistic, patient-centered approach. ATAAD, acute Type A aortic dissection.