High Risk Clinical Features for Acute Aortic Dissection: A Case–Control Study

Background Acute aortic dissection (AAD) is a rare condition with a high mortality that is often missed. The objective of our study was to assess the diagnostic accuracy of clinical and laboratory findings for AAD, in confirmed cases of AAD and in a low‐risk control group. Methods This was a histori...

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Bibliographic Details
Published in:Academic emergency medicine 2018-04, Vol.25 (4), p.378-387
Main Authors: Ohle, Robert, Um, Justin, Anjum, Omar, Bleeker, Helena, Luo, Lindy, Wells, George, Perry, Jeffrey J., Jones, Alan E.
Format: Article
Language:English
Subjects:
Aortic dissection
Coronary vessels
Emergency medical care
Medical diagnosis
Pain
Risk factors
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Summary:Background Acute aortic dissection (AAD) is a rare condition with a high mortality that is often missed. The objective of our study was to assess the diagnostic accuracy of clinical and laboratory findings for AAD, in confirmed cases of AAD and in a low‐risk control group. Methods This was a historical matched case–control study: participants were adults > 18 years old presenting to two tertiary care emergency departments (EDs) or one regional cardiac referral center. Cases were patients with new ED or in‐hospital diagnosis of nontraumatic AAD confirmed by computed tomography or echocardiography. Controls were patients with a triage diagnosis of truncal pain (
ISSN:1069-6563
1553-2712
DOI:10.1111/acem.13356