PMID: 15378142Sep 21, 2004Paper

Aortic dissection: a dreaded disease with many faces

Journal of Cardiovascular Pharmacology and Therapeutics
John Afshin KasherPeter Balingit

Abstract

Aortic dissection is a relatively uncommon but catastrophic illness classically thought to present with acute, sharp, chest pain with radiation to the back. However, aortic dissection can manifest in a number of different ways that include congestive heart failure, inferior myocardial infarction, stroke, focal pulse and neurologic deficits, abdominal pain, or acute renal failure. According to some studies, only about 80% of patients with type A dissection present with severe anterior chest pain, and only about 60% describe their pain as being sharp. Another series reports that treating clinicians fail to initially entertain the diagnosis of aortic dissection in up to 35% of cases. Many patients later found to have aortic dissection are initially suspected to have other conditions such as acute coronary syndrome, pericarditis, pulmonary embolism, or even cholecystitis. In this article we present a case of an unusual presentation of aortic dissection and a review of this condition.

References

Jan 1, 1992·Circulation·D ReedT Hayashi
Mar 4, 1989·Lancet·R ErbelH Rennollet
Mar 1, 1984·The American Journal of Cardiology·E W Larson, W D Edwards
Apr 1, 1981·Southern Medical Journal·J D Sapira
Jan 7, 1993·The New England Journal of Medicine·J E CigarroaK A Eagle
May 20, 1999·The New England Journal of Medicine·C A NienaberA Pierangeli
May 20, 1999·The New England Journal of Medicine·M D DakeD C Miller
Feb 24, 2000·JAMA : the Journal of the American Medical Association·P G HaganK A Eagle
Oct 21, 2000·Archives of Internal Medicine·Y von KodolitschC A Nienaber
Jan 16, 2002·Circulation·Rajendra H MehtaUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Apr 3, 2002·Circulation·Priscilla Y HsueDavid D Waters
May 1, 2002·JAMA : the Journal of the American Medical Association·Michael Klompas
Aug 28, 2002·Circulation·Rajendra H MehtaUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Sep 3, 2002·Journal of the American College of Cardiology·Rajendra H MehtaUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Sep 11, 2002·Journal of Cardiac Surgery·Hüseyin Ince, Christoph A Nienaber
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Sep 1, 1958·Medicine·A E HIRSTS W KIME

❮ Previous
Next ❯

Citations

Jul 14, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Robert G KayserJ V Nixon
Jun 17, 2015·BMJ Case Reports·Parinita A DherangePrakash Suryanarayana
Feb 11, 2015·Prehospital and Disaster Medicine·Christer AxelssonJohan Herlitz
Oct 7, 2011·Heart International·Muhammad Nadeem AttarGrahame K Goode
Apr 1, 2006·The American Journal of Nursing·Linda Scheetz
Jun 9, 2021·The American Journal of Emergency Medicine·Oscar M P Jolobe

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Related Papers

Stroke; a Journal of Cerebral Circulation
Charly GaulFrank J Erbguth
© 2021 Meta ULC. All rights reserved