Analysis on an early diagnosis grading model for acute aortic dissection.
- Author:
Ming TANG
1
;
Qi-ming LIU
;
Sheng-hua ZHOU
;
Xiang-ping CHAI
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Aneurysm, Dissecting; diagnosis; Aorta, Thoracic; pathology; Aortic Aneurysm; diagnosis; Back Pain; Chest Pain; Diagnostic Imaging; Early Diagnosis; Female; Humans; Male; Middle Aged; Sensitivity and Specificity
- From: Chinese Journal of Cardiology 2010;38(5):425-428
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the value of an early diagnosis grading model derived from the clinical manifestation, laboratory and imaging data for the diagnosis of aortic dissection (AD).
METHODSAn early diagnosis grading model was established based on the clinical manifestation, laboratory and imaging data from 182 AD patients who admitted to our department during the last 3 years, 184 patients with chest and back pain served as controls.
RESULTSThe sensitivity and specificity of diagnosing AD with the score of 5 is 96.7% and 81.0%, respectively.
CONCLUSIONThe emergency diagnose of AD could be improved based on the established early grading model based on the stabbing and severe pain, rapid blood pressure increase, asymmetry of the blood pressure and/or the pulse, widened aortic knob, mediastinum or descending aorta on X-ray, and significantly increased D-dimmer level.
