Diagnosis of acute aortic syndromes : imaging and beyond.
Diagnosis of acute aortic syndromes : imaging and beyond.
复制标题
急性主动脉综合征的诊断：影像学及其他。
DOI：
10.1007/s00059-012-3710-1
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发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Weinsaft,JW
中科院分区：
文献类型：
--
作者：
Bossone,E;Suzuki,T;Eagle,KA;Weinsaft,JW
急性主动脉综合征是致命的疾病，包括典型的急性主动脉夹层、壁内血肿和穿透性动脉粥样硬化性溃疡。鉴于非特异性症状和体征，高临床怀疑指数，然后进行影像学检查，即经食管超声心动图，计算机断层扫描和磁共振成像（灵敏度98-100%，特异性95-100%），是及时诊断急性主动脉综合征的必要条件。本文概述了已建立的和新兴的评估急性主动脉综合征的方法，重点是影像学和生物标志物。在这方面，d -二聚体水平（临界值：500 ng/ml）可能有助于排除主动脉夹层，如果在症状出现后24小时内使用。
Acute aortic syndromes are fatal medical conditions including classic acute aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer. Given the nonspecific symptoms and signs, a high clinical index of suspicion followed by an imaging study, namely transesophageal echocardiography, computed tomography, and magnetic resonance imaging (sensitivity 98–100% and specificity 95–100%), is aconditio sine qua nonfor prompt diagnosis of acute aortic syndromes. This article provides an overview of established and emerging approaches for the assessment of acute aortic syndromes, with focus on imaging and biomarkers. In this regard, D-dimer levels (cut-off: 500 ng/ml) may be useful to rule out aortic dissection, if used within the first 24 h after symptom onset.