Key result
Asymptomatic long-segmental type A aortic dissection can present with exaggeratedly low diastolic blood pressure and broad pulse pressure as the primary signs.
Why the study?
Completely asymptomatic aortic dissection is sporadic and likely under-recognized, prompting a case report and review of clinical characteristics.
Case Report (n=1)
Asymptomatic type A aortic dissection is extremely rare and may present primarily with exaggeratedly low diastolic blood pressure and broad pulse pressure, highlighting the importance of recognizing atypical signs.
Exaggeratedly low diastolic pressure may prompt imaging for occult type A dissection; this case leaves open prevalence and thresholds.
Aortic dissection (AD) is a life-threatening disease. Patients usually experience severe pain in the chest, back, or abdomen, but some patients report a variety of other symptoms without pain. Completely asymptomatic AD is sporadic and probably under-recognized. The present study aimed to (a) report an extremely rare case of asymptomatic long-segmental type A AD, wherein exaggeratedly low diastolic blood pressure and broad pulse pressure were the primary signs, and (b) summarize the clinical characteristics of asymptomatic AD through the literature review.
No takes yet. Share an insight, caveat, or question.
Wang et al. (2020) conducted a case report in Asymptomatic long-segmental type A aortic dissection (n=1). Asymptomatic long-segmental type A aortic dissection was evaluated on Clinical characteristics and primary signs. Asymptomatic long-segmental type A aortic dissection can present with exaggeratedly low diastolic blood pressure and broad pulse pressure as the primary signs.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: