Aortic dissection laboratory findings: Difference between revisions

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== Acknowledgements ==
== Acknowledgements ==
The content on this page was first contributed by: David Feller-Kopman, MD and [[C. Michael Gibson]] M.S., M.D.
The content on this page was first contributed by: David Feller-Kopman, MD and [[C. Michael Gibson]] M.S., M.D.
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[[Category:DiseaseState]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
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Revision as of 17:34, 12 December 2011

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-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Laboratory Findings

Electrolyte and Biomarker Studies

  • Routine blood work is usually not helpful, although one can see evidence of hemolysis from the blood in the false leumen. There has been one report using a smooth muscle myosin heavy chain immunoassay to help diagnose aortic dissection. They report that a level > 10 ng/ml within the first 12h is 90% sensitive and 97% specific. This needs to be confirmed in other trials however.
  • The presence of an elevated CK MB may indicate the presence of concomitant MI (often an right coronary artery occlusion due to occlusion of the ostium of the RCA by the dissection).

References

Acknowledgements

The content on this page was first contributed by: David Feller-Kopman, MD and C. Michael Gibson M.S., M.D. Template:WH Template:WS