Research ExplorerPublicationsDie klinische Diagnose akuter Aortendissektionen

Die klinische Diagnose akuter Aortendissektionen

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Die klinische Diagnose akuter Aortendissektionen. / von Kodolitsch, Y; Schwartz, A G; Koschyk, D H; Nienaber, C A.

In: Z Kardiol, Vol. 90, No. 5, 05.2001, p. 339-347.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

von Kodolitsch, Y, Schwartz, AG, Koschyk, DH & Nienaber, CA 2001, 'Die klinische Diagnose akuter Aortendissektionen', Z Kardiol, vol. 90, no. 5, pp. 339-347. https://doi.org/10.1007/s003920170163

APA

von Kodolitsch, Y., Schwartz, A. G., Koschyk, D. H., & Nienaber, C. A. (2001). Die klinische Diagnose akuter Aortendissektionen. Z Kardiol, 90(5), 339-347. https://doi.org/10.1007/s003920170163

Vancouver

von Kodolitsch Y, Schwartz AG, Koschyk DH, Nienaber CA. Die klinische Diagnose akuter Aortendissektionen. Z Kardiol. 2001 May;90(5):339-347. https://doi.org/10.1007/s003920170163

Bibtex

@article{e8714b2f724d4901ba0e4d9bff07d889,
title = "Die klinische Diagnose akuter Aortendissektionen",
abstract = "Despite the availability of modern imaging technology, 35% of aortic dissections remain undiagnosed in vivo because clinical criteria for aortic dissection are not available to date. The present study analyzed 250 patients with acute chest and/or back pain, absence of an established differential diagnosis of the pain syndrome and clinical suspicion of acute aortic dissection for presence of 26 clinical variables. Multivariate analysis identified an aortic pain syndrome with immediate onset and/or tearing or ripping character (P < 0.0001), mediastinal and/or aortic widening on chest radiography (P < 0.0002) and pulse- and/or blood pressure differentials (P < 0.0001) as predictors of acute aortic dissection. Probability of dissection was low (7%) with absence of all three variables, intermediate (31 and 39%, respectively) with isolated findings of {"}aortic pain{"} or {"}mediastinal widening{"}, and high (> 83%) with either isolated {"}pulse- and/or blood pressure differentials{"} or any combination of the three variables. This model appears useful to improve selection of patients for emergency imaging of the thoracic aorta.",
keywords = "Acute Disease, Adult, Aged, Aneurysm, Dissecting/diagnosis, Aortic Aneurysm/diagnosis, Back Pain/etiology, Blood Pressure, Chest Pain/etiology, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Probability",
author = "{von Kodolitsch}, Y and Schwartz, {A G} and Koschyk, {D H} and Nienaber, {C A}",
year = "2001",
month = may,
doi = "10.1007/s003920170163",
language = "Deutsch",
volume = "90",
pages = "339--347",
number = "5",

}

RIS

TY - JOUR

T1 - Die klinische Diagnose akuter Aortendissektionen

AU - von Kodolitsch, Y

AU - Schwartz, A G

AU - Koschyk, D H

AU - Nienaber, C A

PY - 2001/5

Y1 - 2001/5

N2 - Despite the availability of modern imaging technology, 35% of aortic dissections remain undiagnosed in vivo because clinical criteria for aortic dissection are not available to date. The present study analyzed 250 patients with acute chest and/or back pain, absence of an established differential diagnosis of the pain syndrome and clinical suspicion of acute aortic dissection for presence of 26 clinical variables. Multivariate analysis identified an aortic pain syndrome with immediate onset and/or tearing or ripping character (P < 0.0001), mediastinal and/or aortic widening on chest radiography (P < 0.0002) and pulse- and/or blood pressure differentials (P < 0.0001) as predictors of acute aortic dissection. Probability of dissection was low (7%) with absence of all three variables, intermediate (31 and 39%, respectively) with isolated findings of "aortic pain" or "mediastinal widening", and high (> 83%) with either isolated "pulse- and/or blood pressure differentials" or any combination of the three variables. This model appears useful to improve selection of patients for emergency imaging of the thoracic aorta.

AB - Despite the availability of modern imaging technology, 35% of aortic dissections remain undiagnosed in vivo because clinical criteria for aortic dissection are not available to date. The present study analyzed 250 patients with acute chest and/or back pain, absence of an established differential diagnosis of the pain syndrome and clinical suspicion of acute aortic dissection for presence of 26 clinical variables. Multivariate analysis identified an aortic pain syndrome with immediate onset and/or tearing or ripping character (P < 0.0001), mediastinal and/or aortic widening on chest radiography (P < 0.0002) and pulse- and/or blood pressure differentials (P < 0.0001) as predictors of acute aortic dissection. Probability of dissection was low (7%) with absence of all three variables, intermediate (31 and 39%, respectively) with isolated findings of "aortic pain" or "mediastinal widening", and high (> 83%) with either isolated "pulse- and/or blood pressure differentials" or any combination of the three variables. This model appears useful to improve selection of patients for emergency imaging of the thoracic aorta.

KW - Acute Disease

KW - Adult

KW - Aged

KW - Aneurysm, Dissecting/diagnosis

KW - Aortic Aneurysm/diagnosis

KW - Back Pain/etiology

KW - Blood Pressure

KW - Chest Pain/etiology

KW - Diagnosis, Differential

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Probability

U2 - 10.1007/s003920170163

DO - 10.1007/s003920170163

M3 - SCORING: Zeitschriftenaufsatz

C2 - 11452895

VL - 90

SP - 339

EP - 347

IS - 5

ER -