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/* Comparison of Various Diagnostic Modalities for the Diagnosis of Aortic Dissection (DO NOT EDIT){{cite journal |vauthors=Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger...
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===Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome with Unstable Hemodynamic<ref name="pmid25173340">{{cite journal |vauthors=Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ |title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) |journal=Eur. Heart J. |volume=35 |issue=41 |pages=2873–926 |date=November 2014 |pmid=25173340 |doi=10.1093/eurheartj/ehu281 |url=}}</ref>===
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]]
|-
|bgcolor="LightGreen" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|}
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LemonChiffon"|[[ESC guidelines classification scheme#Classification of Recommendations|Class IIb]]
|-
|bgcolor="LemonChiffon" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
|}
===Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome with Stable Hemodynamic<ref name="pmid25173340">{{cite journal |vauthors=Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ |title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) |journal=Eur. Heart J. |volume=35 |issue=41 |pages=2873–926 |date=November 2014 |pmid=25173340 |doi=10.1093/eurheartj/ehu281 |url=}}</ref>===
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]]
|-
|bgcolor="LightGreen" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|}
{|class="wikitable"
|-
| colspan="1" style="text-align:center; background:LemonChiffon"|[[ESC guidelines classification scheme#Classification of Recommendations|Class IIb]]
|-
|bgcolor="LemonChiffon" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
|}
==References==
==References==
<references />
<references />

Revision as of 17:11, 10 December 2019

Aortic dissection Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic dissection from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Special Scenarios

Management during Pregnancy

Case Studies

Case #1


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Diagnostic Study of Choice

Clinical Criteria

2014 ESC Guidelines on the Diagnosis and Treatment of Aortic Diseases (DO NOT EDIT)[1]

Risk Stratification of Patients Suspicious for Aortic Dissection[2]

High Risk Conditions Score
  • Connective tissue disorders including Marfan syndrome
 1
  • Family history of aortic disease
  • Personal history aortic valve disease
  • Personal history of thoracic aortic aneurysm
  • Previous aortic surgery (including cardiac surgery)
High Risk Pain Characteristics Score
  • Chest, back, or abdominal pain with at least one of the following features:
    • Abrupt onset
    • Severe intensity
    • Ripping or tearing
 1
High Risk Physical Findings Score
  • Evidence of insufficient blood supply:
    • Absent pulse
    • Systolic blood pressure difference
    • Focal neurological deficit (along with pain)
 1
  • Aortic diastolic murmur (new and with pain)
  • Hypotension or shock

Comparison of Various Diagnostic Modalities for the Diagnosis of Aortic Dissection (DO NOT EDIT)[1]

Location Diagnostic Modality Diagnostic Value
Ascending Aortic Dissection
  • Transthoracic Echocardiography
  • Moderate
  • Transoesophageal Echocardiography
  • Excellent
  • CT Scan
  • Excellent
  • MRI
  • Excellent
Aortic Arch Dissection
  • Transthoracic Echocardiography
  • Poor
  • Transoesophageal Echocardiography
  • Poor
  • CT Scan
  • Excellent
  • MRI
  • Excellent
Descending Aortic Dissection
  • Transthoracic Echocardiography
  • Poor
  • Transoesophageal Echocardiography
  • Excellent
  • CT Scan
  • Excellent
  • MRI
  • Excellent

Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome with Unstable Hemodynamic[1]

Class I
"(Level of Evidence: B)"
Class IIb
"(Level of Evidence: C)"

Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome with Stable Hemodynamic[1]

Class I
"(Level of Evidence: B)"
Class IIb
"(Level of Evidence: C)"

References

  1. ↑ 1.0 1.1 1.2 1.3 Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ (November 2014). "2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC)". Eur. Heart J. 35 (41): 2873–926. doi:10.1093/eurheartj/ehu281. PMID 25173340.
  2. ↑ Hiratzka, Loren F.; Bakris, George L.; Beckman, Joshua A.; Bersin, Robert M.; Carr, Vincent F.; Casey, Donald E.; Eagle, Kim A.; Hermann, Luke K.; Isselbacher, Eric M.; Kazerooni, Ella A.; Kouchoukos, Nicholas T.; Lytle, Bruce W.; Milewicz, Dianna M.; Reich, David L.; Sen, Souvik; Shinn, Julie A.; Svensson, Lars G.; Williams, David M. (2010). "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease". Circulation. 121 (13). doi:10.1161/CIR.0b013e3181d4739e. ISSN 0009-7322.
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