Aortic dissection laboratory findings: Difference between revisions

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{{Template:Aortic dissection}}


{{CMG}} ; '''Associate Editor-In-Chief:''' {{CZ}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}


==Overview==  
==Overview==  
Routine blood work is usually not helpful and should not delay definitive [[diagnosis|diagnostic]] studies such as a [[CT]] scan and treatment.
Routine blood work is usually not helpful and should not delay definitive [[diagnosis|diagnostic]] studies such as a [[CT]] scan and treatment.
 
==Laboratory Findings==
==Complete Blood Count==
===Complete Blood Count===
[[Hemolysis]] can be present as a result of blood in the [[false lumen]].  
[[Hemolysis]] can be present as a result of blood in the [[false lumen]].
 
===Biomarker Studies===
==Biomarker Studies==
*There has been one report using a [[smooth muscle]] [[myosin]] heavy chain [[immunoassay]] to help [[diagnosis|diagnose]] [[aortic]] dissection. They report that a level > 10 ng/ml within the first 12h is 90% [[sensitivity|sensitive]] and 97% [[specificity|specific]]. This finding needs to be confirmed in other trials however.
*There has been one report using a [[smooth muscle]] [[myosin]] heavy chain [[immunoassay]] to help [[diagnosis|diagnose]] [[aortic]] dissection. They report that a level > 10 ng/ml within the first 12h is 90% [[sensitivity|sensitive]] and 97% [[specificity|specific]]. This finding needs to be confirmed in other trials however.
*The presence of an elevated [[CK MB]] may indicate the presence of concomitant [[acute myocardial infarction]] (often a [[right coronary artery]] occlusion due to occlusion of the [[ostium]] of the [[RCA]] by the dissection).
*The presence of an elevated [[CK MB]] may indicate the presence of concomitant [[acute myocardial infarction]] (often a [[right coronary artery]] occlusion due to occlusion of the [[ostium]] of the [[RCA]] by the dissection).
 
===Urinalysis===
==Urinalysis==
*[[Hematuria]] may be present and may indicate the presence of [[renal infarction]].
*[[Hematuria]] may be present and may indicate the presence of [[renal infarction]].



Revision as of 19:30, 25 January 2013

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

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]

Overview

Routine blood work is usually not helpful and should not delay definitive diagnostic studies such as a CT scan and treatment.

Laboratory Findings

Complete Blood Count

Hemolysis can be present as a result of blood in the false lumen.

Biomarker Studies

Urinalysis

References

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