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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...

A Systematic Review and Meta-analysis of D-dimer as a Rule-out Test for Suspected Acute Aortic Dissection

by emottawa | Feb 8, 2016 | Journal Club

Journal Club Summary Methodology Score: 3.5/5               Usefulness Score: 3/5   Asha SE, Miers JW. Ann Emerg Med. 2015 Oct;66(4):368-78.   Full Article   This systematic review and meta-analysis aims to determine the diagnostic accuracy of D-dimer as a rule out...

Meta-analysis of Usefulness of D-dimer to Diagnose Acute Aortic Dissection

by emottawa | Nov 11, 2013 | Journal Club

Journal Club Summary Methodology Score: 3/5                 Usefulness Score: 3/5   Shimony A, Filion KB, Mottillo S, Dourian T, Eisenberg MJ. Am J Cardiol. 2011 Apr 15;107(8):1227-34   Abstract Link   This meta-analysis of seven studies shows a pooled sensitivity...
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