Difference between revisions of "Aortic dissection diagnostic study of choice"

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===Clinical Criteria===
 
===Clinical Criteria===
 
==2014 ESC Guidelines on the Diagnosis and Treatment of Aortic Diseases<ref>{{cite journal|title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases|journal=European Heart Journal|volume=35|issue=41|year=2014|pages=2873–2926|issn=0195-668X|doi=10.1093/eurheartj/ehu281}}</ref>==
 
==2014 ESC Guidelines on the Diagnosis and Treatment of Aortic Diseases<ref>{{cite journal|title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases|journal=European Heart Journal|volume=35|issue=41|year=2014|pages=2873–2926|issn=0195-668X|doi=10.1093/eurheartj/ehu281}}</ref>==
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===Risk Stratification of Patients Suspicious for Aortic Dissection<ref name="HiratzkaBakris2010">{{cite journal|last1=Hiratzka|first1=Loren F.|last2=Bakris|first2=George L.|last3=Beckman|first3=Joshua A.|last4=Bersin|first4=Robert M.|last5=Carr|first5=Vincent F.|last6=Casey|first6=Donald E.|last7=Eagle|first7=Kim A.|last8=Hermann|first8=Luke K.|last9=Isselbacher|first9=Eric M.|last10=Kazerooni|first10=Ella A.|last11=Kouchoukos|first11=Nicholas T.|last12=Lytle|first12=Bruce W.|last13=Milewicz|first13=Dianna M.|last14=Reich|first14=David L.|last15=Sen|first15=Souvik|last16=Shinn|first16=Julie A.|last17=Svensson|first17=Lars G.|last18=Williams|first18=David M.|title=2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease|journal=Circulation|volume=121|issue=13|year=2010|issn=0009-7322|doi=10.1161/CIR.0b013e3181d4739e}}</ref>===
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{| class="wikitable"
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|-
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| align="center" style="background: #4479BA; color: #FFFFFF |'''High Risk Conditions'''
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Connective tissue disorders including Marfan syndrome
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Family history of aortic disease
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Personal history aortic valve disease
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Personal history of thoracic aortic aneurysm
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Previous aortic surgery (including cardiac surgery)
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|-
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!  style="background: #4479BA; color: #FFFFFF |'''High Risk Pain Characteristics'''
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Chest, back, or abdominal pain with at least one of the following features:
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** Abrupt onset
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** Severe intensity
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** Ripping or tearing
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|-
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!  style="background: #4479BA; color: #FFFFFF |'''High Risk Physical Findings'''
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Evidence of insufficient blood supply:
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** Absent pulse
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** Systolic blood pressure difference
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** Focal neurological deficit (along with pain)
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Aortic diastolic murmur (new and with pain)
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|-
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| style="background: #F5F5F5; padding: 5px;" |
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* Hypotension or shock
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|-
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|}
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==References==

Revision as of 20:24, 4 December 2019

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

Imaging in Acute aortic dissection

Chest X Ray

CT

MRI

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Secondary Prevention

Special Scenarios

Management during Pregnancy

Case Studies

Case #1

Aortic dissection diagnostic study of choice On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Aortic dissection diagnostic study of choice

CDC on Aortic dissection diagnostic study of choice

Aortic dissection diagnostic study of choice in the news

Blogs on Aortic dissection diagnostic study of choice

Directions to Hospitals Treating Aortic dissection diagnostic study of choice

Risk calculators and risk factors for Aortic dissection diagnostic study of choice

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[1]

Risk Stratification of Patients Suspicious for Aortic Dissection[2]

High Risk Conditions
  • Connective tissue disorders including Marfan syndrome
  • 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
  • Chest, back, or abdominal pain with at least one of the following features:
    • Abrupt onset
    • Severe intensity
    • Ripping or tearing
High Risk Physical Findings
  • Evidence of insufficient blood supply:
    • Absent pulse
    • Systolic blood pressure difference
    • Focal neurological deficit (along with pain)
  • Aortic diastolic murmur (new and with pain)
  • Hypotension or shock

References

  1. "2014 ESC Guidelines on the diagnosis and treatment of aortic diseases". European Heart Journal. 35 (41): 2873–2926. 2014. doi:10.1093/eurheartj/ehu281. ISSN 0195-668X.
  2. Hiratzka, Loren F.; Bakris, George L.; Beckman, Joshua A.; Bersin, Robert M.; Carr, Vincent F.; Casey, Donald E.; Eagle, Kim A.; Hermann, Luke K.; Isselbacher, Eric M.; Kazerooni, Ella A.; Kouchoukos, Nicholas T.; Lytle, Bruce W.; Milewicz, Dianna M.; Reich, David L.; Sen, Souvik; Shinn, Julie A.; Svensson, Lars G.; Williams, David M. (2010). "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease". Circulation. 121 (13). doi:10.1161/CIR.0b013e3181d4739e. ISSN 0009-7322.

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