Recognition and initial management of acute aortic dissection.

Kesieme, Emeka B; Iruolagbe, Christopher Ojemiega; Ngaage, Dumbor L

Kesieme, Emeka B; Iruolagbe, Christopher Ojemiega; Ngaage, Dumbor L.

Afiliación

Kesieme EB; Department of Cardiothoracic Surgery, Castle Hill Hospital, Cottingham, UK.
Iruolagbe CO; Department of Medicine, Chicago Medical School, Rosalind Franklin University of Medicine and Sciences, North Chicago, IL, USA.
Ngaage DL; Department of Cardiothoracic Surgery, Castle Hill Hospital, Cottingham, UK.

Br J Hosp Med (Lond) ; 85(7): 1-12, 2024 Jul 30.

Article en En | MEDLINE | ID: mdl-39078908

ABSTRACT

ABSTRACT

Acute aortic dissection is a cardiovascular emergency that should be recognised on presentation in the Emergency Department (ED) because clinical outcome is time-dependent. In suspected cases of acute aortic dissection, immediate imaging with chest computed tomography scan followed by transthoracic echocardiography (TTE) is essential to confirm diagnosis. Immediate medical management is aimed at controlling the heart rate (60-80 beats/min), systolic blood pressure (100-120 mmHg) and pain. Patients with Type A acute aortic dissection should immediately be referred to the cardiothoracic surgeons for emergency aortic surgery while those with Type B acute aortic dissection should be referred to the vascular surgeons for surgical/endovascular interventions if indicated.

Asunto(s)

Disección Aórtica; Ecocardiografía; Tomografía Computarizada por Rayos X; Humanos; Disección Aórtica/diagnóstico; Disección Aórtica/terapia; Disección Aórtica/cirugía; Enfermedad Aguda; Aneurisma de la Aorta/terapia; Aneurisma de la Aorta/diagnóstico; Aneurisma de la Aorta/cirugía; Aneurisma de la Aorta/diagnóstico por imagen; Servicio de Urgencia en Hospital

Palabras clave

Aortic dissection; Malperfusion syndrome; Type A dissection; Type B dissection

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ecocardiografía / Tomografía Computarizada por Rayos X / Disección Aórtica Límite: Humans Idioma: En Revista: Br J Hosp Med (Lond) Asunto de la revista: HOSPITAIS / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido

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