Using D-Dimer to Diagnose Painless Acute Aortic Dissection: A Case Report
| Autor: | Dominique Lauque, Emilie Dehours, Baptiste Vallé, Sandrine Charpentier, Vincent Bounes, Caroline Barniol |
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| Rok vydání: | 2011 |
| Předmět: |
Aortic dissection
medicine.medical_specialty medicine.diagnostic_test business.industry Radiography lcsh:Medical emergencies. Critical care. Intensive care. First aid Case Report Physical examination lcsh:RC86-88.9 General Medicine medicine.disease Chest pain Surgery Pulmonary embolism Pre- and post-test probability D-dimer cardiovascular system medicine medicine.symptom Presentation (obstetrics) business |
| Zdroj: | Case Reports in Emergency Medicine, Vol 2011 (2011) Case Reports in Emergency Medicine |
| ISSN: | 2090-6498 2090-648X |
| Popis: | Introduction. Aortic dissection is a cardiovascular emergency; the most frequent symptom is chest pain, but clinical presentation can be varied and atypical.Case Presentation. We report the case of a 66-year-old Caucasian male who presented a syncope immediately followed by a left-arm weakness while driving his car. Clinical examination was normal, but bilateral jugular vein distension was noted. Electrocardiogram and chest radiography were unremarkable. Among blood tests performed, troponin I test result was negative, and D-dimer test concentration was >4000 ng/mL. Since D-dimer test result was positive, chest computer tomography angiogram was performed and found a thoracic aortic dissection.Conclusion. Our case report shows that acute aortic dissection diagnosis is difficult and must be associated with the interpretation of various clinical signs and D-dimer measurement. It could be helpful for the emergency physician to have a pretest probability D-dimer like in pulmonary embolism diagnosis. |
| Databáze: | OpenAIRE |
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