Aortic dissection diagnostic study of choice

Aortic dissection Microchapters
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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
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Treatment
Medical Therapy
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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]

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