Aortic dissection diagnostic study of choice: Difference between revisions
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===Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome | ===Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome<ref name="pmid25173340">{{cite journal |vauthors=Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ |title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) |journal=Eur. Heart J. |volume=35 |issue=41 |pages=2873–926 |date=November 2014 |pmid=25173340 |doi=10.1093/eurheartj/ehu281 |url=}}</ref>=== | ||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]] | ||
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|bgcolor="LightGreen" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: | |bgcolor="LightGreen" |<nowiki>"</nowiki>''Initial recommended [[imaging]] study for the [[diagnosis]] of [[acute aortic syndrome]] is [[transthoracic echocardiography]].([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
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===Patients with Unstable Hemodynamic=== | |||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]] | |||
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|bgcolor="LightGreen" |<nowiki>"</nowiki>''In [[patients]] with hemodynamic stability, [[transoesophageal echocardiography]] or [[computed tomography]] are the recommended [[imaging]] studies. prefered modality is chosen according to local availabilty or expertise.([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |||
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|bgcolor="LemonChiffon" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |bgcolor="LemonChiffon" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
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=== | ===Patients with Stable Hemodynamic<ref name="pmid25173340">{{cite journal |vauthors=Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ |title=2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC) |journal=Eur. Heart J. |volume=35 |issue=41 |pages=2873–926 |date=November 2014 |pmid=25173340 |doi=10.1093/eurheartj/ehu281 |url=}}</ref>=== | ||
{|class="wikitable" | {|class="wikitable" | ||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ESC guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |- | ||
|bgcolor="LightGreen" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: | |bgcolor="LightGreen" |<nowiki>"</nowiki>''In stable [[patients]], [[computed tomography]] or [[magnetic resonance imaging]] are the recommended [[imaging]] studies. prefered modality is chosen according to local availabilty or expertise.([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ESC guidelines classification scheme#Classification of Recommendations|Class IIb]] | | colspan="1" style="text-align:center; background:LemonChiffon"|[[ESC guidelines classification scheme#Classification of Recommendations|Class IIb]] | ||
|- | |- | ||
|bgcolor="LemonChiffon" |<nowiki>"</nowiki>''([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |bgcolor="LemonChiffon" |<nowiki>"</nowiki>''In stable [[patients]], [[transoesophageal echocardiography]] is the recommended [[imaging]] study.([[ESC guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
|} | |} | ||
==References== | ==References== | ||
<references /> | <references /> |
Revision as of 19:31, 10 December 2019
Aortic dissection Microchapters |
Diagnosis |
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Treatment |
Special Scenarios |
Case Studies |
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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 (DO NOT EDIT)
Risk Stratification of Patients Suspicious for Aortic Dissection
High Risk Conditions | Score |
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High Risk Pain Characteristics | Score |
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High Risk Physical Findings | Score |
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Comparison of Various Diagnostic Modalities for the Diagnosis of Aortic Dissection (DO NOT EDIT)[1]
Location | Diagnostic Modality | Diagnostic Value |
Ascending Aortic Dissection |
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Aortic Arch Dissection |
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Descending Aortic Dissection |
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Diagnostic Work-up of Patients Suspicious of Acute Aortic Syndrome[1]
Class I |
"Initial recommended imaging study for the diagnosis of acute aortic syndrome is transthoracic echocardiography.(Level of Evidence: C)" |
Patients with Unstable Hemodynamic
Class I |
"In patients with hemodynamic stability, transoesophageal echocardiography or computed tomography are the recommended imaging studies. prefered modality is chosen according to local availabilty or expertise.(Level of Evidence: C)" |
Class IIb |
"(Level of Evidence: C)" |
Patients with Stable Hemodynamic[1]
Class I |
"In stable patients, computed tomography or magnetic resonance imaging are the recommended imaging studies. prefered modality is chosen according to local availabilty or expertise.(Level of Evidence: C)" |
Class IIb |
"In stable patients, transoesophageal echocardiography is the recommended imaging study.(Level of Evidence: C)" |
References
- ↑ 1.0 1.1 1.2 Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ (November 2014). "2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC)". Eur. Heart J. 35 (41): 2873–926. doi:10.1093/eurheartj/ehu281. PMID 25173340.