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Thoracic aortic aneurysm and atrial fibrillation: clinical associations with the risk of stroke from a global federated health network analysis
ConclusionThis retrospective analysis reports a clinical concomitance of the two medical conditions, and shows in a PSM analysis an increased risk of ischemic events in patients affected by TAA and AF compared to AF alone.
Source: Internal and Emergency Medicine - January 14, 2023 Category: Emergency Medicine Source Type: research

A Serious Diagnosis Lacking Common Symptoms
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; & AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regi...
Source: The Case Files - May 28, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

What Is the Specificity of the Aortic Dissection Detection Risk Score in a Low ‐prevalence Population?
ConclusionsOur study confirms that in North America the prevalence of AAS in those undergoing advanced imaging is low. The ADD ‐RS in this population has a low specificity. A lack of defined inclusion criteria and a low specificity limits the application of this rule in practice.
Source: Academic Emergency Medicine - November 20, 2018 Category: Emergency Medicine Authors: Robert Ohle, Omar Anjum, Helena Bleeker, Sarah McIsaac, Brian C. Hiestand Tags: Original Contribution Source Type: research

What is the specificity of the aortic dissection detection risk score in a low prevalence population?
CONCLUSIONS: Our study confirms that in North America the prevalence of AAS in those undergoing advanced imaging is low. The ADD-RS in this population has a low specificity. A lack of defined inclusion criteria and a low specificity limits the application of this rule in practice. This article is protected by copyright. All rights reserved. PMID: 30311318 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - October 12, 2018 Category: Emergency Medicine Authors: Ohle R, Anjum O, Bleeker H, McIsaac S Tags: Acad Emerg Med Source Type: research

Patients with Acute Thoracic Aortic Dissection: A One-Year Case Series of Patients Presenting to an ED
Thoracic dissection is an often fatal disease. Although physicians must have a high level of suspicion for this disorder, up to 38% of patients with dissection do not have it suspected on evaluation, and up to 28% are found on autopsy not to have been correctly diagnosed. Although rare, thoracic aortic dissection is the most common lethal disease affecting the aorta and more common than abdominal aortic aneurysm (AAA) rupture. Mortality can be as high as 1–2% per hour, making quick and accurate diagnosis important. This is made more complex by the various presentations of thoracic dissection, based on area of dissection,...
Source: The Journal of Emergency Medicine - January 23, 2014 Category: Emergency Medicine Authors: D. Salo, F. Fiesseler, K. Baldino, H. Patel Source Type: research