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PubMed · 12090056

[Acute aortic dissection].

A Muiño Míguez·M V Villalba García·C López González-Cobos·M Gómez Antúnez·M Ortiz Vega·J Ortiz Alonso
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Abstract

OBJECTIVE: Acute aortic dissection is a medical emergency associated with high rates of mortality. Despite recent diagnostic advances, prompt and accurate diagnosis is difficult. We present a review of the a medical emergency service experience to diagnosis, factors associated to prompt diagnosis and inhospital evolution. MATERIAL AND METHOD: We studied 86 consecutive patients who had aortic dissections, to assess the presentation, management, and outcome. RESULTS: Mean age 61.9 +/- 12.5 years, 80% male. Hypertension was the most common predisposing factor (65% of patients overall). Chest pain was the most common initial complaint (58%). The initial clinical impression was aortic dissection in 56% of patients overall. Computed tomography was diagnostic in 96% when used. 62% underwent surgery. Overall in-hospital mortality was 28%. CONCLUSIONS: Acute aortic dissection presents with a wide range of manifestations. A high clinical index of suspicion and a prompt computed tomography should to improve recognition of aortic dissection.

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Acute DiseaseAdultAgedAged, 80 and overAortic DissectionAortic AneurysmFemaleHumansMaleMiddle AgedEnglish AbstractJournal Article

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A Muiño Míguez, M V Villalba García, C López González-Cobos, M Gómez Antúnez, M Ortiz Vega, J Ortiz Alonso. 2002. [Acute aortic dissection].. https://pubmed.ncbi.nlm.nih.gov/12090056/

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