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Immediate Management of Type A and Type B Aortic Dissection

…back or abdominal pain. Pain may be described as ripping, tearing, sharp or stabbing. Its location and radiation may reflect the segment of aorta involved…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…hypertension, and concomitant abdominal aortic aneurysm. Clinical Presentation and Symptoms Acute chest and/or back pain is the predominant symptom of both IMH and PAU…

Differential Diagnosis of Chest Pain: A Clinical Overview

…Findings: The sudden onset of symptoms coupled with diaphoresis should always raise concern for a cardiovascular cause [4]. 2. Aortic Dissection Pain Characteristics: The classic…

Spontaneous Coronary Artery Dissection

…Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial wall, usually through formation of an intramural haematoma…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…exposure of thrombogenic material. Superficial plaque erosion. Thrombosis associated with a calcified nodule. Epicardial or microvascular coronary spasm. Spontaneous coronary artery dissection. Coronary embolism of…

🟠 Adjusted aortic root dimension

…mm (ascending aorta, aortic arch) All individuals 60 mm (descending aorta) All individuals Risk factors : previous dissection, family history of dissection, severe aortic regurgitation or…

Exercise stress test on cycle ergometer

…symptomatic arrhythmia. Symptomatic severe aortic stenosis. Decompensated heart failure. Acute pulmonary embolism or deep vein thrombosis. Acute myocarditis, pericarditis or endocarditis. Acute aortic dissection. Physical…

Blood pressure

…days. Hypertensive emergency: raised pressure with acute organ damage (encephalopathy, pulmonary oedema, aortic dissection, acute renal failure, pre eclampsia) — intravenous treatment with a controlled reduction…

Pericardiocentesis

…other than the conditions in which the procedure is the wrong treatment : Aortic dissection with haemopericardium — drainage can increase the bleeding and worsen the prognosis…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…such as rheumatoid arthritis, systemic lupus erythematosus, scleroderma, and rheumatic fever. Aortic dissection rupturing into the pericardium. Idiopathic pericardial effusion. Renal failure, hypothyroidism, and hypercholesterolemia…

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