Initial Triage and Management of Patients with Acute Aortic Syndromes.
Cardiol Clin
; 42(2): 195-213, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38631790
ABSTRACT
The acute aortic syndromes (AAS) are life-threatening vascular compromises within the aortic wall. These include aortic dissection (AD), intramural hematoma (IMH), penetrating aortic ulcer (PAU), and blunt traumatic thoracic aortic injury (BTTAI). While patients classically present with chest pain, the presentation may be highly variable. Timely diagnosis is critical to initiate definitive treatment and maximize chances of survival. In high-risk patients, treatment should begin immediately, even while diagnostic evaluation proceeds. The mainstay of medical therapy is acute reduction of heart rate and blood pressure. Surgical intervention is often required but is informed by patient anatomy and extent of vascular compromise.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças da Aorta
/
Dissecção Aórtica
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article