Open AccessDiagnostic Accuracy of the Aortic Dissection Detection Risk Score Plus D-Dimer for Acute Aortic Syndromes
Author(s) -
Peiman Nazerian,
Christian Mueller,
Alexandre de Matos Soeiro,
Bernd A. Leidel,
Sibilla Anna Teresa Salvadeo,
Francesca Giachino,
Simone Vanni,
Karin Grimm,
Múcio Tavares de Oliveira,
Emanuele Pivetta,
Enrico Lupia,
Stefano Grifoni,
Fulvio Morello,
Elisa Capretti,
Matteo Castelli,
S Gualtieri,
Federica Trausi,
Stefania Battista,
Paolo Bima,
Federica Carbone,
Maria Tizzani,
Maria Grazia Veglio,
Patrick Badertscher,
Jasper Boeddinghaus,
Thomas Nestelberger,
Raphael Twerenbold
Publication year - 2017
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.117.029457
Subject(s) - medicine , aortic dissection , d dimer , cardiology , aorta , radiology
Acute aortic syndromes (AASs) are rare and severe cardiovascular emergencies with unspecific symptoms. For AASs, both misdiagnosis and overtesting are key concerns, and standardized diagnostic strategies may help physicians to balance these risks. D-dimer (DD) is highly sensitive for AAS but is inadequate as a stand-alone test. Integration of pretest probability assessment with DD testing is feasible, but the safety and efficiency of such a diagnostic strategy are currently unknown.
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