Author:
Vercelli Andrea,Berardi Eleonora,Poggiali Erika
Abstract
Dear Editor,
In the recently published article by McLatchie et al., the authors state that emergency clinicians may miss acute aortic syndrome (AAS) by not considering it as a possibility, being falsely reassured by atypical or resolved symptoms, or mistaking it for other more common conditions.1 The authors emphasise the importance of always considering AAS in the differential diagnosis of chest, back or abdominal pains, collapse, perfusion deficits or neurological compromise and suggest a risk stratification scoring system such as ADD-RS in combination with D-dimer to standardise the approach and help physicians discern which patients to scan. [...]
Reference8 articles.
1. McLatchie R, Wilson S, Reed M, et al. Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis. Emerg Care J 2023;19:11153.
2. Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/ SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the American College of cardiology Foundation/ American heart association Task force on practice guidelines, American association for thoracic surgery, American College of radiology, American stroke association, society of cardiovascular Anesthesiologists, Society for cardiovascular angiography and interventions, society of interventional radiology, society of thoracic surgeons, and Society for vascular medicine. Circulation 2010;121:e266–369.
3. Nazerian P, Mueller C, Vanni S, et al. Integration of transthoracic focused cardiac ultrasound in the diagnostic algorithm for suspected acute aortic syndromes. Eur Heart J 2019;40:1952-60.
4. Fojtik JP, Costantino TG, Dean AJ. The diagnosis of aortic dissection by emergency medicine ultrasound. J Emerg Med 2007;32:191-6.
5. Gibbons R, Smith D, Mulflur M, et al. 364 Point-of-care ultrasound for the detection of aortic dissections in the emergency department. Ann Emerg Med 2017;70:S143.
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