Aortic dissection diagnostic study of choice: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
/* Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome{{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, Manoli... |
||
| Line 186: | Line 186: | ||
|- | |- | ||
|bgcolor="LightGreen" |<nowiki>"</nowiki>''Initial recommended [[imaging]] study for the [[diagnosis]] of [[acute aortic syndrome]] is [[transthoracic echocardiography]].([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |bgcolor="LightGreen" |<nowiki>"</nowiki>''Initial recommended [[imaging]] study for the [[diagnosis]] of [[acute aortic syndrome]] is [[transthoracic echocardiography]].([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
|- | |||
|bgcolor="LightGreen" |<nowiki>"</nowiki>''In case of initially negative [[imaging]] study, repetitive [[imaging]] study (including [[CT]] or [[MRI]]) is recommended if the suspicion for [[acute aortic syndrome]] is high.([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |||
|- | |||
|bgcolor="LightGreen" |<nowiki>"</nowiki>''Repeated [[imaging]] study (including [[CT]] or [[MRI]]) is recommended in case of uncomplicated medially treated aortic dissection type B in the first few days of treatment. ([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |||
|} | |} | ||
===Patients with Unstable Hemodynamic=== | ===Patients with Unstable Hemodynamic=== | ||
{|class="wikitable" | {|class="wikitable" | ||
Revision as of 19:45, 10 December 2019
|
Aortic dissection Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Special Scenarios |
|
Case Studies |
|
|
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)
Risk Stratification of Patients Suspicious for Aortic Dissection
| High Risk Conditions | Score |
|
1 |
| |
| |
| |
| |
| High Risk Pain Characteristics | Score |
|---|---|
|
1 |
| High Risk Physical Findings | Score |
|
1 |
| |
|
Comparison of Various Diagnostic Modalities for the Diagnosis of Aortic Dissection (DO NOT EDIT)[1]
| Location | Diagnostic Modality | Diagnostic Value |
| Ascending Aortic Dissection |
|
|
|
| |
|
| |
|
| |
| Aortic Arch Dissection |
|
|
|
| |
|
| |
|
| |
| Descending Aortic Dissection |
|
|
|
| |
|
| |
|
|
Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome[1]
| Class I |
| "Initial recommended imaging study for the diagnosis of acute aortic syndrome is transthoracic echocardiography.(Level of Evidence: C)" |
| "In case of initially negative imaging study, repetitive imaging study (including CT or MRI) is recommended if the suspicion for acute aortic syndrome is high.(Level of Evidence: C)" |
| "Repeated imaging study (including CT or MRI) is recommended in case of uncomplicated medially treated aortic dissection type B in the first few days of treatment. (Level of Evidence: C)" |
Patients with Unstable Hemodynamic
| Class I |
| "In patients with hemodynamic stability, transoesophageal echocardiography or computed tomography are the recommended imaging studies. prefered modality is chosen according to local availabilty or expertise.(Level of Evidence: C)" |
| Class IIb |
| "(Level of Evidence: C)" |
Patients with Stable Hemodynamic[1]
| Class I |
| "In stable patients, computed tomography or magnetic resonance imaging are the recommended imaging studies. prefered modality is chosen according to local availabilty or expertise.(Level of Evidence: C)" |
| Class IIb |
| "In stable patients, transoesophageal echocardiography is the recommended imaging study.(Level of Evidence: C)" |
References
- ↑ 1.0 1.1 1.2 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.