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October 1, 2011Cleveland Clinic Journal of Medicine46 citationsOpen Access

Aortic dissection: Prompt diagnosis and emergency treatment are critical

ABAlan C. Braverman

Key Result

Prompt diagnosis and emergency surgical treatment for ascending aortic dissection, and medical management for descending aortic dissection, are critical for optimal chances of survival.

Structured PICO

P
Population
Patients presenting with chest pain or suspected acute aortic dissection
I
Intervention
Diagnostic evaluation (clinical features, D-dimer, CT/MRI/TEE) and management (emergency surgery for type A, medical therapy for type B)

A high index of suspicion is required for diagnosing acute aortic dissection, with prompt imaging and appropriate triage (surgery for type A, medical for type B) being critical for survival.

Abstract

Diagnosing aortic dissection requires a high index of suspicion, as it may mimic other more common conditions that cause chest pain. Prompt diagnosis is key, as it requires emergency evaluation and treatment for optimal chances of survival. This paper reviews key clinical features as well as laboratory and imaging tests.

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Cite This Study

Alan C. Braverman (2011) conducted a review in Aortic dissection. Prompt diagnosis and emergency surgical treatment for ascending aortic dissection, and medical management for descending aortic dissection, are critical for optimal chances of survival.

synapsesocial.com/papers/6a9b292f3cc92aeeb9397d8fhttps://doi.org/10.3949/ccjm.78a.11053
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-Term Survival in Patients Presenting With Type A Acute Aortic Dissection2006 · 122 citations
  2. 2Long-term survival in patients presenting with type B acute aortic dissection: Insights from the International Registry of Acute Aortic Dissection2007 · 46 citations
  3. 3Acute Aortic Dissection Presenting with Primarily Abdominal Pain: A Rare Manifestation of a Deadly Disease2005 · 61 citations
  4. 4Familial Thoracic Aortic Aneurysms and Dissections—Incidence, Modes of Inheritance, and Phenotypic Patterns2006 · 499 citations
  5. 5Acute Intramural Hematoma of the Aorta2005 · 497 citations