Thoracic Aortic Dissection(beta)
Official guideline from the American College of Emergency Physicians.
summary by Eric Steinberg, DO
In adult patients with suspected nontraumatic thoracic aortic dissection, emergency physicians may use computed tomography (CT) angiogram to exclude thoracic aortic dissection because it has accuracy similar to that of transesophageal echocardiogram (TEE) and magnetic resonance angiogram (MRA).
In adult patients with suspected nontraumatic thoracic aortic dissection, do not rely on an abnormal bedside transthoracic echocardiogram (TTE) result to definitively establish the diagnosis of thoracic aortic dissection.
What do the icons mean?
Generally accepted principles for patient care that reflect a high degree of clinical certainty (ie, based on evidence from 1 or more Class of Evidence I or multiple Class of Evidence II studies).
Recommendations for patient care that may identify a particular strategy or range of strategies that reflect moderate clinical certainty (ie, based on evidence from 1 or more Class of Evidence II studies or strong consensus of Class of Evidence III studies).
Recommendations for patient care that are based on evidence from Class of Evidence III studies or, in the absence of any adequate published literature, based on expert consensus. In instances where consensus recommendations are made, “consensus” is placed in parentheses at the end of the recommendation.