At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection

At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection

The use of D-dimer assay to screen for aortic dissection has become routine in clinical practice. Although an uncommon disease entity, aortic dissection is rapidly fatal without prompt diagnosis, and biochemical detection in the proper clinical context is crucial. We performed a retrospective chart...

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Main Authors: Maxim Zlatopolsky, Daniel Brancheau, Marcel Zughaib
Format: Article
Language:English
Published: SAGE Publishing 2018-05-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X18774639
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spelling doaj-c352723b065844909b9cdcc0a253c0c62020-11-25T02:34:09ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2018-05-01610.1177/2050313X18774639At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissectionMaxim ZlatopolskyDaniel BrancheauMarcel ZughaibThe use of D-dimer assay to screen for aortic dissection has become routine in clinical practice. Although an uncommon disease entity, aortic dissection is rapidly fatal without prompt diagnosis, and biochemical detection in the proper clinical context is crucial. We performed a retrospective chart review of all aortic dissections presenting to a community tertiary care center between 2000 and 2016 and identified three patients in whom laboratory D-dimer testing was positive and a diagnosis of Stanford Type A aortic dissection was confirmed with computed tomography angiography based on clinical assessment and a newly validated risk stratification tool.https://doi.org/10.1177/2050313X18774639
collection DOAJ
language English
format Article
sources DOAJ
author Maxim Zlatopolsky
Daniel Brancheau
Marcel Zughaib
spellingShingle Maxim Zlatopolsky
Daniel Brancheau
Marcel Zughaib
At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
SAGE Open Medical Case Reports
author_facet Maxim Zlatopolsky
Daniel Brancheau
Marcel Zughaib
author_sort Maxim Zlatopolsky
title At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
title_short At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
title_full At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
title_fullStr At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
title_full_unstemmed At the “threshold” of certainty: Risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
title_sort at the “threshold” of certainty: risk stratification and clinical assessment incongruity in the diagnosis of aortic dissection
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2018-05-01
description The use of D-dimer assay to screen for aortic dissection has become routine in clinical practice. Although an uncommon disease entity, aortic dissection is rapidly fatal without prompt diagnosis, and biochemical detection in the proper clinical context is crucial. We performed a retrospective chart review of all aortic dissections presenting to a community tertiary care center between 2000 and 2016 and identified three patients in whom laboratory D-dimer testing was positive and a diagnosis of Stanford Type A aortic dissection was confirmed with computed tomography angiography based on clinical assessment and a newly validated risk stratification tool.
url https://doi.org/10.1177/2050313X18774639
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AT danielbrancheau atthethresholdofcertaintyriskstratificationandclinicalassessmentincongruityinthediagnosisofaorticdissection
AT marcelzughaib atthethresholdofcertaintyriskstratificationandclinicalassessmentincongruityinthediagnosisofaorticdissection
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