Just One High-Risk Clinical Feature can Put You at Risk For AAD

by Hannah Joy on  April 12, 2018 at 11:40 AM Heart Disease News
RSS Email Print This Page Comment bookmark
Font : A-A+

Individuals who show one or more high-risk clinical features such as tearing pain, hypotension, pulse deficit, neurologic deficit and new murmur are at higher risk for acute aortic dissection (AAD), reveals a new study.
Just One High-Risk Clinical Feature can Put You at Risk For AAD
Just One High-Risk Clinical Feature can Put You at Risk For AAD

That is the finding of a study to be published in the issue of Academic Emergency Medicine (AEM), a journal of the Society for Academic Emergency Medicine (SAEM).

Show Full Article


The lead author of the study is Dr. Robert Ohle, MSc, MA, MB, FRCPC, Department of Emergency Medicine, the Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario.

The study by Ohle, et al, further found that patients with no high-risk and multiple low-risk features (absence of abrupt-onset pain, history of ischemic heart disease and diabetes) are at low risk for acute aortic dissection.

A novel finding of the study was that a history of ischemic heart disease decreased the probability of AAD.

The study suggested that educational strategies focusing on disseminating the diagnostic accuracy of clinical findings could reduce time to diagnosis and that further research should focus on the ability of a combination of these factors in the assessment of a patient for AAD.

The findings support the need for prospective data collection to address the reproducibility of subjective historical features and the accuracy of D-dimer in a lower-risk population.

Lane McNeil Smith, MD, PhD, assistant professor, Lexington Emergency Medicine, Wake Forest Baptist Health, commented:

"Ohle et al have done a great job at telling us how acute aortic dissection presents to emergency departments. Are we finally on the verge of a decision rule for this disease that improves our miss rate without ballooning non-therapeutic imaging and costs? This study is a step in the right direction and the authors are in a good position to find the right balance of improved accuracy and increased cost."



Source: Eurekalert

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

News A - Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

News Search

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Stay Connected

  • Available on the Android Market
  • Available on the App Store

News Category

News Archive