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The Aorta Made Me Do It: Cognitive Bias and Acute Aortic Syndrome

The Aorta Made Me Do It: Cognitive Bias and Acute Aortic Syndrome

by Talal Alkhaldi | Oct 29, 2026 | Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation, Surgery, Trauma

It is three in the morning. A 58-year-old man with hypertension walks in with sudden, severe chest pain. He looks uncomfortable but stable. His ECG is normal. His troponin is pending. And somewhere in the back of your mind, a quiet voice says: could this be a...
Acute Valvular Emergencies

Acute Valvular Emergencies

by Emily Cino | Jul 30, 2026 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries, Resuscitation

Acute valvular emergencies are uncommon, but when they present they can rapidly become life-threatening. Patients often arrive with undifferentiated respiratory failure, pulmonary edema, hypotension, or cardiogenic shock, and the initial diagnosis may not be obvious....
Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis

Diagnostic Accuracy of D-Dimer for Acute Aortic Syndromes: Systematic Review and Meta-Analysis

by Josee Malette, Hans Rosenberg, Ian Stiell | Oct 15, 2024 | Cardiothoracic Surgery, emergency, Featured, Full Article, Journal Club

Methodology: 3/5 Usefulness: 4/5 Essat M, et al. Ann Emerg Med. 2024 Jun 18:S0196-0644(24)00260-9  Question and Methods: Using systematic review methodology, the authors aimed to determine sensitivity and specificity in the use of D-Dimer in the work-up for Acute...
Aortic Dissection – A Needle in a Haystack

Aortic Dissection – A Needle in a Haystack

by Simon Wells, Pascale King | Oct 22, 2020 | Cardiology, Cardiothoracic Surgery, Critical Care, Featured, Grand Round Summaries

A 65-year-old male self-presents to the Emergency Department (ED) with sudden-onset severe chest pain. The pain was sharp, lasted 30 minutes, and has now resolved. His vitals and ECG are normal, and his high-sensitivity troponin testing is negative. He has a normal...
Diagnostic Accuracy of the Aortic Dissection Detection Risk Score Plus D-Dimer for Acute Aortic Syndromes: The ADvISED Prospective Multicenter Study

Diagnostic Accuracy of the Aortic Dissection Detection Risk Score Plus D-Dimer for Acute Aortic Syndromes: The ADvISED Prospective Multicenter Study

by Hans Rosenberg | Jun 18, 2018 | Cardiology, Journal Club

Methodology Score: 3/5 Usefulness Score: 3/5 Nazerian P, et al. Circulation. 2018 Jan 16;137(3):250-258.  Editorial – Biomarker-Assisted Diagnosis of Acute Aortic Dissection. Question: The ADvISED trial was an International Multicenter prospective observational...
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