This study evaluated the long-term effects of blood pressure (BP) and heart rate (HR) on 839 patients post-surgical repair of acute type A aortic dissection. Key findings showed that a systolic BP over 150 mm HG at discharge correlated with increased mortality. An HR of 81 to 100 beats per minute was linked to higher overall mortality, while an HR over 100 beats per minute raised both mortality and aortic surgery event risk. This study illustrates the fact that effective management of BP and HR is crucial for better long-term outcomes.