Thoracic aortic syndromes in the emergency department: recognition and management.
Emerg Med Pract
; 23(12): 1-28, 2021 Dec.
Article
em En
| MEDLINE
| ID: mdl-34787992
ABSTRACT
Acute aortic syndromes include aortic dissection, penetrating atherosclerotic ulcer, and intramural hematomas, but aortic dissection is the most common and the deadliest. This review summarizes the latest evidence on developing a differential for aortic dissection when common complaints, such as chest pain, abdominal pain, and syncope are also present. Recent evidence on the optimal uses of emergency department imaging studies and risk stratification tools are reviewed, along with special considerations in the management of penetrating atherosclerotic ulcer and intramural hematoma. Pharmacologic therapies for managing hemodynamic parameters and shock, and indications for operative intervention are also reviewed, along with cutting-edge diagnostic and treatment options on the horizon.
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Base de dados:
MEDLINE
Assunto principal:
Dissecção Aórtica
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Emerg Med Pract
Ano de publicação:
2021
Tipo de documento:
Article