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Dissection ultrasound

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By Per Staffan EM physician
Peiman Nazerian, Simone Vanni, Matteo Castelli, Fulvio Morello, Camilla Tozzetti, Giovanni Zagli, Giuseppe Giannazzo, Ruben Vergara, Stefano Grifoni
Type A aortic dissection (AD) is a deadly disease. Rapid identification of patients requiring immediate advanced aortic imaging or transfer to specialized centers is needed to improve outcomes. We evaluated the diagnostic performance of transthoracic focus cardiac ultrasound (FOCUS) performed by emergency physicians, alone and in combination with the aortic dissection detection (ADD) risk score in suspected type A AD. This was a prospective study performed on patients with suspected type A AD. FOCUS evaluated the presence of intimal flap/intramural hematoma (direct signs of AD), ascending aorta dilatation, aortic valve insufficiency or pericardial effusion/tamponade (indirect signs of AD)...
September 2014: Internal and Emergency Medicine
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