Aortic Dissection
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Aortic dissection occurs in 3 in 100,000 people per year. Tear in the inner side of aorta causes blood to flow between layers of aorta causing seperation of media layer into inner two third and outer one third. Dissection can be antegrade or retrograde. Symptoms96% of people will have chest pain with varying severity with or without radiation. Back pain, vomiting, sweating, headache, blood stained diarrhea, paralytic ileus, strokes and death Males are more affected than females. Males will have double incidence as females. Aetiology Hypertensions in 80% of patients were observed. A connective tissue disorder is also common. Bicuspid Aortic valve is seen in 7 to 14% of patients. 5 To 9% of patients has Marfan syndrome. Along with this Atherosclerosis, Trauma, Post cardiac surgery, Smoking, Cocaine abusers, pregnancy, Aortoarteritis, Turners syndrome, High intensity weightlifting, Syphilis are the other causes [1-7]. Diagnosis D dimer more than 500 ng/ml rules out Aortic dissection. Transoesophageal echocardiogram helps in diagnosing the sensitivity is 98% and specificity is 97%. Ultrasound of abdomen, computerized Tomography, Magnetic resonant Angiography will diagnose Aortic dissection, the sensitivity is 98% and specificity is 98%. This is being classified in to Stanford Type A. Where ascending and arch of aortas are affected. Stanford Type B...where ascending aorta is spared.
Authors and Affiliations
Jayesh V Trivedi
Keywords
Related Articles
- EP ID EP569429
- DOI 10.26717/BJSTR.2017.01.000339
- Views 165
- Downloads 0
Blue Light Exposure In The Morning and Low-Dose Aripiprazole Administration at Night Combined to Effectively Treat Wake-Up Difficulty due to Prolonged Sleep Time
School non-attendance due to difficulty waking up is a social concern among Japanese students. Many factors result in wake-up difficulty, and it is often difficult to identify the underlying cause at the first visit to a...
Restructuring a New Cognitive Frame Work of the Neuropathogenesis of Atopic Dermatitis and Its Implications
Chronic Atopic Dermatitis (AD) is inadequately managed in the primary health care and hospital settings [1,2]. Steroid phobia, emergence of methicillin resistant Staphylococcus aureus (MRSA), poor compliance to emollient...
When Angiography Makes a Difference - Polyarteritis Nodosa- A Rare Cause of Mid- Gastrointestinal Bleeding
We present a case of overt and recurrent mid-gastrointestinal bleeding with hemodynamic repercussion and severe limitation to the patients’ quality of life, followed in our department for the last 6 years. The final diag...
A Coinheritance of X-Linked and Autosomal Dominant forms of the Ichthyosis
According to a modern classification, there are two forms of inherited ichthyosises: syndromic and nonsyndromic, each of them consists of more than ten different nosologies [1]. More common types of the ichthyosis are X-...
Vermitechnology Based Tribal Women Empowerment for Economic Development in Himachal Pradesh
A novel technique of converting decomposable organic wastes into valuable manure (compost) through earthworm activity is a faster and beneficial process. The earthworms are used as the natural bioreactors for making deco...