II. Indications
- Aortic Dissection risk assessment
III. Criteria
- Score 1: High Risk Predisposing factors (past medical history, Family History)
- Marfan Syndrome (or other Connective Tissue Disease)
- Family History of aortic disease
- Aortic valve disease
- Recent aorta manipulation
- known Thoracic Aortic Aneurysm
- Score 1: High Risk Pain characteristics (and other HPI)
- Sudden-onset
- Tearing, ripping or sharp Chest Pain
- Radiation to the back
- Score 1: High Risk Exam Features
- Perfusion deficit (Asymmetric Pulses or arm systolic Blood Pressure)
- Focal neurologic deficit
- New Aortic Insufficiency murmur (early Diastolic Murmur)
- Hypotension or shock
IV. Interpretation
- High Risk Findings that indicate CTA Chest (or other evaluation of Aortic Dissection)
- Score 2-3 Criteria present
- Score 0-1 Criteria present AND D-Dimer >500 ng/ml FEU (>250 ng/ml DDU)
V. Resources
- Aortic Dissection Detection Risk Score (Life in the Fast Lane)
- Aortic Dissection Detection Risk Score (MD-Calc)