Clinical Case Database / Category: Case Based Discussion
Acute thoracic aortic syndromes
Publication details
Dr Andrew RJ Mitchell
Foundation Years Journal, volume 7, issue 6, p.14 (123Doc Education, London, June 2013)
Abstract
A 25-year-old man presents to the emergency department with chest pain. The patient describes severe, sudden-onset, central chest pain radiating through to his back, which came on whilst out walking his dog. The patient claims to have been previously fit and well with no significant past medical or surgical history. He is a non-smoker, drinks alcohol very occasionally and denies taking any regular medication. In the emergency department, the patient appears pale, sweaty, tachypnoeic and in obvious pain.
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Authors
Dr Andrew RJ Mitchell (Corresponding author)
Department of Cardiology
Jersey General Hospital
Gloucester Street
St Helier
Jersey
JE1 3QS
Channel lslands
mail@jerseycardiologist.com
References
1. Suzuki T, Bassone E, Sawaki D et al. Biomarkers of aortic diseases. American Heart Journal 2013;165:15-25.
2. Suzuki T, Distante A, Eagle K. Biomarker-assisted diagnosis of acute aortic dissection: how far we have come and what to expect. Current Opinions in Cardiology 2010;25:541-545.
3. Harris KM, Strauss CE, Eagle KA, et al. Correlates of delayed recognition and treatment of acute type A aortic dissection: the International Registry of Acute Aortic Dissection (IRAD). Circulation 2011;124:1911-1918
4. Von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Archives of Internal Medicine 2000;160(19):2977-2982
5. Wilson SK, Hutchins GM. Aortic dissecting aneurysms: causative factors in 204 subjects. Archives of Pathology and Labatory Medicine 1982;106(4):175-180.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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