Aortic dissection diagnostic study of choice: Difference between revisions

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Sahar Memar Montazerin (talk | contribs)
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===Clinical Criteria===
===Clinical Criteria===
==2014 ESC Guidelines on the Diagnosis and Treatment of Aortic Diseases<ref>{{cite journal|title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases|journal=European Heart Journal|volume=35|issue=41|year=2014|pages=2873–2926|issn=0195-668X|doi=10.1093/eurheartj/ehu281}}</ref>==
==2014 ESC Guidelines on the Diagnosis and Treatment of Aortic Diseases==
===Risk Stratification of Patients Suspicious for Aortic Dissection<ref name="HiratzkaBakris2010">{{cite journal|last1=Hiratzka|first1=Loren F.|last2=Bakris|first2=George L.|last3=Beckman|first3=Joshua A.|last4=Bersin|first4=Robert M.|last5=Carr|first5=Vincent F.|last6=Casey|first6=Donald E.|last7=Eagle|first7=Kim A.|last8=Hermann|first8=Luke K.|last9=Isselbacher|first9=Eric M.|last10=Kazerooni|first10=Ella A.|last11=Kouchoukos|first11=Nicholas T.|last12=Lytle|first12=Bruce W.|last13=Milewicz|first13=Dianna M.|last14=Reich|first14=David L.|last15=Sen|first15=Souvik|last16=Shinn|first16=Julie A.|last17=Svensson|first17=Lars G.|last18=Williams|first18=David M.|title=2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease|journal=Circulation|volume=121|issue=13|year=2010|issn=0009-7322|doi=10.1161/CIR.0b013e3181d4739e}}</ref>===
===Risk Stratification of Patients Suspicious for Aortic Dissection===
{| class="wikitable"
{| class="wikitable"
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| align="center" style="background: #4479BA; color: #FFFFFF |'''High Risk Conditions'''
| align="center" style="background: #4479BA; color: #FFFFFF |'''High Risk Conditions'''
|'''Score'''
|-
|-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Connective tissue disorders including Marfan syndrome
* Connective tissue disorders including Marfan syndrome
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!  style="background: #4479BA; color: #FFFFFF |'''High Risk Pain Characteristics'''
!  style="background: #4479BA; color: #FFFFFF |'''High Risk Pain Characteristics'''
!Score
|-
|-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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** Severe intensity
** Severe intensity
** Ripping or tearing
** Ripping or tearing
|1
|-
|-
|+
|+
!  style="background: #4479BA; color: #FFFFFF |'''High Risk Physical Findings'''
!  style="background: #4479BA; color: #FFFFFF |'''High Risk Physical Findings'''
!Score
|-
|-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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** Systolic blood pressure difference
** Systolic blood pressure difference
** Focal neurological deficit (along with pain)
** Focal neurological deficit (along with pain)
| rowspan="3" |1
|-
|-
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==References==
==References==
<references />

Revision as of 20:48, 4 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

Risk Stratification of Patients Suspicious for Aortic Dissection

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

References

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