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Titolo:
Clinical diagnosis of acute aortic dissection
Autore:
von Kodolitsch, Y; Schwartz, AG; Koschyk, DH; Nienaber, CA;
Indirizzi:
Univ Hamburg, Hosp Eppendorf, Abt Kardiol, D-20246 Hamburg, Germany Univ Hamburg Hamburg Germany D-20246 t Kardiol, D-20246 Hamburg, Germany Karmanos Canc Inst, Detroit, MI 48201 USA Karmanos Canc Inst Detroit MI USA 48201 Canc Inst, Detroit, MI 48201 USA
Titolo Testata:
ZEITSCHRIFT FUR KARDIOLOGIE
fascicolo: 5, volume: 90, anno: 2001,
pagine: 339 - 347
SICI:
0300-5860(200105)90:5<339:CDOAAD>2.0.ZU;2-A
Fonte:
ISI
Lingua:
GER
Soggetto:
THORACIC AORTA; INTRAMURAL HEMORRHAGE; MYOCARDIAL-INFARCTION; COMPUTED-TOMOGRAPHY; PROGNOSTIC PROFILES; NATURAL-HISTORY; CHEST PAIN; ECHOCARDIOGRAPHY; EXPERIENCE;
Keywords:
aortic valve; aneurysm; aorta;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: von Kodolitsch, Y Univ Hamburg, Hosp Eppendorf, Abt Kardiol, Martinistr 52, D-20246 Hamburg,Germany Univ Hamburg Martinistr 52 Hamburg Germany D-20246 many
Citazione:
Y. von Kodolitsch et al., "Clinical diagnosis of acute aortic dissection", Z KARDIOL, 90(5), 2001, pp. 339-347

Abstract

Despite the availability of modern imaging technology, 35% of aortic dissections remain undiagnosed in vivo because clinical criteria for aortic dissection are not available to date. The present study analyzed 250 patients with acute chest and/or back pain, absence of an established differential diagnosis of the pain syndrome and clinical suspicion of acute aortic dissection for presence of 26 clinical variables. Multivariate analysis identifiedan aortic pain syndrome with immediate onset and/or tearing or ripping character (P < 0.0001), mediastinal and/or aortic widening on chest radiography (P < 0.0002) and pulse- and/or blood pressure differentials (P < 0.0001) as predictors of acute aortic dissection. Probability of dissection was low(7%) with absence of all three variables, intermediate (31 and 39%, respectively) with isolated findings of "aortic pain" or "mediastinal widening", and high (> 83%) with either isolated "pulse- and/or blood pressure differentials" or any combination of the three variables. This model appears useful to improve selection of patients for emergency imaging of the thoracic aorta.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 00:50:34