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.
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).
Mortality for Type A Acute Aortic Dissection Near 1 Percent Per Hour
International Registry of Acute Aortic Dissections (IRAD) is a consortium of research centers, including MHI, where the management and outcomes of acute aortic dissection is evaluated.
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‘Individuals who do not have high-risk clinical features are at lower risk for acute aortic dissection (AAD).’
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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.
![Peak Flu Season Results in High Hospital Admissions for Acute Aortic Dissection]( "Peak Flu Season Results in High Hospital Admissions for Acute Aortic Dissection")
Research says that hospital admissions for acute aortic dissection were highest during peak flu season.
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
Peak Flu Season Results in High Hospital Admissions for Acute Aortic Dissection
Research says that hospital admissions for acute aortic dissection were highest during peak flu season.
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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
Lunar Cycle Influences Outcome of Cardiac Patients Undergoing Acute Aortic Dissection
Acute aortic dissection (AAD) repair performed in the waning full moon appears to reduce the odds of death.
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