Sandbox:Sahar: Difference between revisions
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clinical probability. | clinical probability. | ||
| style="padding: 5px 5px; background: # | | style="padding: 5px 5px; background: #FFFACD;" align="center" |'''IIa''' | ||
| style="padding: 5px 5px; background: #FFFFE0;" align="center" |'''B''' | | style="padding: 5px 5px; background: #FFFFE0;" align="center" |'''B''' | ||
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|- | |- | ||
! style="padding: 5px 5px | ! style="padding: 5px 5px; " align="left" |In case of low clinical | ||
probability of AAS, negative D-dimer | probability of AAS, negative D-dimer | ||
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diagnosis. | diagnosis. | ||
| style="padding: 5px 5px; background: # | | style="padding: 5px 5px; background: #FFFACD;" align="center" |'''IIa''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |'''C''' | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |'''C''' | ||
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tests should be considered. | tests should be considered. | ||
| style="padding: 5px 5px; background: # | | style="padding: 5px 5px; background: #FFFACD;" align="center" |'''IIa''' | ||
| style="padding: 5px 5px; background: #FFFFE0;" align="center" |'''B''' | | style="padding: 5px 5px; background: #FFFFE0;" align="center" |'''B''' | ||
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|- | |- | ||
! style="padding: 5px 5px | ! style="padding: 5px 5px;" align="left" |In patients with high probability | ||
(risk score 2 or 3) of AD, | (risk score 2 or 3) of AD, | ||
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! colspan="4" align="left" |Imaging | ! colspan="4" align="left" |Imaging | ||
|- | |- | ||
! style="padding: 5px 5px; background: # | ! style="padding: 5px 5px; background: #FFFFE0; " align="left" |TTE is recommended as an | ||
initial imaging investigation. | initial imaging investigation. | ||
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! | ! | ||
|- | |- | ||
! style="padding: 5px 5px | ! style="padding: 5px 5px; " align="left" |In unstabled patients with a | ||
suspicion of AAS, the following | suspicion of AAS, the following | ||
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! | ! | ||
|- | |- | ||
! style="padding: 5px 5px; background: # | ! style="padding: 5px 5px; background: #FFFFE0; " align="left" |In stable patients with a | ||
suspicion of AAS, the | suspicion of AAS, the | ||
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|- | |- | ||
!TOE | !TOE | ||
| style="padding: 5px 5px; background: #FFFACD;" align="center" |'''IIa''' | |||
!C | !C | ||
! | ! | ||
|- | |- | ||
! style="padding: 5px 5px; background: # | ! style="padding: 5px 5px; background: #FFFFE0; " align="left" |In case of initially negative | ||
imaging with the persistence of | imaging with the persistence of | ||
Line 227: | Line 227: | ||
! | ! | ||
|- | |- | ||
! style="padding: 5px 5px | ! style="padding: 5px 5px;" align="left" |Chest X-ray maybe | ||
considered in cases of low | considered in cases of low | ||
clinical probability of AAS. | clinical probability of AAS. | ||
| style="padding: 5px 5px; background: #FFFACD;" align="center" |'''IIb''' | |||
!C | !C | ||
! | ! | ||
|- | |- | ||
! style="padding: 5px 5px; background: # | ! style="padding: 5px 5px; background: #FFFFE0;" align="left" |In case of uncomplicated | ||
Type B AD treated medically, | Type B AD treated medically, |
Revision as of 03:52, 25 December 2019
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Recomendacations | Class | Level | References |
---|---|---|---|
History and clinical assessment | |||
In all patients with suspected
AAS, pre-test probability assessment is recommended, according to the patient’s condition, symptoms, and clinical features. |
I | B | |
Laboratory testing | |||
In case of suspicion of AAS,
the interpretation of biomarkers should always be considered along with the pretest clinical probability. |
IIa | B | |
In case of low clinical
probability of AAS, negative D-dimer levels should be considered as ruling out the diagnosis. |
IIa | C | |
In case of intermediate clinical
probability of AAS with a positive (point-of-care) D-dimer test, further imaging tests should be considered. |
IIa | B | |
In patients with high probability
(risk score 2 or 3) of AD, testing of D-dimers is not recommended. |
III | C | |
Imaging | |||
TTE is recommended as an
initial imaging investigation. |
I | C | |
In unstabled patients with a
suspicion of AAS, the following imaging modalities are recommended according to local availability and expertise: |
|||
TOE | I | C | |
CT | I | C | |
In stable patients with a
suspicion of AAS, the following imaging modalities are recommended (or should be considered) according to local availability and expertise: |
|||
CT | I | C | |
MRI | I | C | |
TOE | IIa | C | |
In case of initially negative
imaging with the persistence of suspicion of AAS, repetitive imaging (CT or MRI) is recommended. |
I | C | |
Chest X-ray maybe
considered in cases of low clinical probability of AAS. |
IIb | C | |
In case of uncomplicated
Type B AD treated medically, repeated imaging (CT or MRI)e during the first days is recommended. |
I | C |