Thoracic aortic aneurysm screening: Difference between revisions
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(Created page with "__NOTOC__ {{Thoracic aortic aneurysm}} {{CMG}}; {{AE}} {{AN}] ==Overview== ==ACC/ AHA Guidelines - Recommendations for Screening Tests (DO NOT EDIT)== {|class="wikitable" |-...") |
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|bgcolor="LightGreen" |'''3.'''Urgent and definitive imaging of the aorta using transesophageal echocardiogram, computed tomographic imaging, or magnetic resonance imaging is recommended to identify or exclude thoracic aortic dissection in patients at high risk for the disease by initial screening ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' | |bgcolor="LightGreen" |'''3.'''Urgent and definitive imaging of the aorta using transesophageal echocardiogram, computed tomographic imaging, or magnetic resonance imaging is recommended to identify or exclude thoracic aortic dissection in patients at high risk for the disease by initial screening ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' | ||
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|colspan="1" style="text-align:center; background:LightCoral"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] (No Benefit) | |||
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|bgcolor="LightCoral"|'''1.''' A negative chest x-ray should not delay definitive aortic imaging in patients determined to be high risk for aortic dissection by initial screening.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' | |||
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Revision as of 02:23, 8 October 2012
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Thoracic aortic aneurysm Microchapters |
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Differentiating Thoracic Aortic Aneurysm from other Diseases |
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Diagnosis |
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Treatment |
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Special Scenarios |
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Case Studies |
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Thoracic aortic aneurysm screening On the Web |
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Directions to Hospitals Treating Thoracic aortic aneurysm screening |
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Risk calculators and risk factors for Thoracic aortic aneurysm screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: {{AN}]
Overview
ACC/ AHA Guidelines - Recommendations for Screening Tests (DO NOT EDIT)
| Class I |
| 1. An electrocardiogram should be obtained on all patients who present with symptoms that may represent acute thoracic aortic dissection. |
| a.Given the relative infrequency of dissection-related coronary artery occlusion, the presence of ST-segment elevation suggestive of myocardial infarction should be treated as a primary cardiac event without delay for definitive aortic imaging unless the patient is at high risk for aortic dissection (Level of Evidence: B) |
| 2.The role of chest x-ray in the evaluation of possible thoracic aortic disease should be directed by the patient's pretest risk of disease as follows: |
| a. Intermediate risk: Chest x-ray should be performed on all intermediate-risk patients, as it may establish a clear alternate diagnosis that will obviate the need for definitive aortic imaging (Level of Evidence:C) |
| b. Low risk: Chest x-ray should be performed on all low-risk patients, as it may either establish an alternative diagnosis or demonstrate findings that are suggestive of thoracic aortic disease, indicating the need for urgent definitive aortic imaging. (Level of Evidence:C) |
| 3.Urgent and definitive imaging of the aorta using transesophageal echocardiogram, computed tomographic imaging, or magnetic resonance imaging is recommended to identify or exclude thoracic aortic dissection in patients at high risk for the disease by initial screening (Level of Evidence: B) |
| Class III (No Benefit) |
| 1. A negative chest x-ray should not delay definitive aortic imaging in patients determined to be high risk for aortic dissection by initial screening.(Level of Evidence: C) |