Key result
Patients with acute aortic dissection presenting without typical pain had significantly lower systolic blood pressure (106 vs 155 mmHg) and a higher superior mediastinum thoracic ratio (38% vs 29%) compared to patients with acute cerebral infarction.
Why the study?
What are the differentiating clinical and radiographic factors between acute cerebral infarction and atypical acute aortic dissection in the emergency room?
Observational (n=157)
No
What are the differentiating clinical and radiographic factors between acute cerebral infarction and atypical acute aortic dissection in the emergency room?
Absolute Event Rate: 106% vs 155%
p-value: p=<0.01
Low blood pressure and superior mediastinal enlargement on chest X-ray are key factors to differentiate atypical acute aortic dissection from acute cerebral infarction in the emergency room, helping to prevent inappropriate rt-PA administration.
No abstract yet. The journal hasn't published one we can show.
No takes yet. Share an insight, caveat, or question.
Iwashita et al. (2008) conducted an observational in Acute cerebral infarction and acute aortic dissection (n=157). Acute aortic dissection without typical pain vs. Acute cerebral infarction was evaluated on Systolic blood pressure (mmHg) (p=<0.01). Patients with acute aortic dissection presenting without typical pain had significantly lower systolic blood pressure (106 vs 155 mmHg) and a higher superior mediastinum thoracic ratio (38% vs 29%) compared to patients with acute cerebral infarction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: