Warning at emergency room: The role of diagnostic test in acute aortic dissection

Alfonso Lagi

doi:10.15761/vdt.1000133

Abstract

Warning at emergency room: The role of diagnostic test in acute aortic dissection

Highlights

The Acute Aortic Syndromes (AAS) are a severe, life threating and time related disease, which ask fast diagnosis and therapy
In the emergency room health workers should rank the high risk clinical conditions and features which select the patients very likely to suffer from Acute Aortic Disease
The incidence of dissection appears to be increasing, independent of the ageing population, either It may be that two to three times as many patients die from aortic dissection than from ruptured abdominal aortic aneurysm; with an unknown number of patients dying before diagnosis, the true prevalence is not precise

Summary

Introduction

The Acute Aortic Syndromes (AAS) are a severe, life threating and time related disease, which ask fast diagnosis and therapy. The common denominator of AAS is disruption of the media layer of the aorta with bleeding within, along the wall of the aorta resulting in separation of the layers of the aorta (dissection), or transmurally through the wall in the case of ruptured of penetrating atherosclerotic ulcer or trauma They are defined as emergency conditions with similar clinical characteristics involving the aorta: acute aortic dissection (AAD), intramural haematoma, penetrating aortic ulcer, complete rupture of the aorta, traumatic aortic injury, iatrogenic aortic dissection. A high level of suspicion is required for early diagnosis and crucial for patient survival The aim of this manuscript is to rise a red flag for the health workers of emergency room to improve their reaction and conduct in front of AAD which is the common pathology of all AAS [1,2]. In the Emergency Room, the most appropriate investigations should be performed, so that the accurate decisions can be taken

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Conclusion