Acute Aortic Dissection – Chest pain not to be ignored
Wednesday, March 10, 2021
The aorta is the largest blood vessel in the body. As it courses through the chest, it gives off branches to the brain and upper extremities before heading down into the abdomen and supplying the vital organs such as the intestines, liver, and kidneys, and eventually bifurcating to supply both legs. Acute aortic dissection is the most serious pathology to affect the aorta. If left untreated, the majority of patients with aortic dissection will die within 3 months. Aortic dissection is defined as a tear in the inner lining of the aorta that allows blood to seep in between the layers of the vessel. This creates a false channel in the aorta which can have devastating
complications both immediately and in the long-term.
The incidence of acute aortic dissection is 2.9 to 3.5 per 100,000 person years. The most common risk factors for developing acute aortic dissection include age, gender, hypertension, and structural abnormalities of the aortic wall. Men are four times as likely to be affected by this condition than women. Poorly controlled blood pressure is seen in 70% of patients with an aortic dissection. Other causes for aortic dissection include structural abnormalities such as bicuspid aortic valve and hereditary conditions such as Marfan Syndrome and Ehlers-Danlos Syndrome).
The most common presenting symptom of acute aortic dissection is pain. The pain is typically in
the back or chest but can also be located in the abdomen. The pain is usually very severe and
feels like a tearing/stabbing sensation. It is frequently described as the “worst pain ever” by
patients. Another frequent finding with aortic dissection is hypertension. The blood pressure
may be severely elevated and can be difficult to control with oral medication alone. Less frequently, patients may have an associated syncopal episode where they pass out briefly. This can be a very serious sign of poor blood flow to the brain or tamponade of the heart, where blood fills around the heart and restricts the ability to pump. Patients may also present with signs of poor circulation to the vital organs or to the extremities with pain, numbness and lack of pulses.
Definitive diagnosis is made with CT scan of the chest, abdomen and pelvis. This will help
guide the location of the dissection flap along the aorta and assist with surgical planning. The
addition of echocardiogram is also beneficial in evaluating the heart and making sure the valves
are functioning properly and there is no fluid around the heart.
Treatment of acute aortic dissection depends on the presenting symptoms. Foremost, patients who present with pain symptoms and hypertension need immediate control of their blood pressure. Patients frequently require admission to the ICU for very close monitoring and are placed on IV medication to lower their blood pressure. Once the blood pressure has been adequately controlled and their pain has resolved, patients can be transitioned to oral medications. Surgery can be required for a variety of reasons including failure of medical management and if they have signs of not getting enough blood flow to vital organs such as the brain, gut, liver, kidneys or extremities. Surgery can include placing large stent grafts inside the artery to seal the tear and to restore blood flow to the vital organs. Occasionally, open repair is necessary where parts of the aorta have to be replaced with a synthetic graft.
It is essential to maintain follow up with your doctor after discharge from the hospital. The most common long-term complication after an aortic dissection is enlargement of the aorta with potential for rupture. This may require surgery with stent graft placement or open replacement of the aorta. Patients will require lifelong management of their blood pressure and surveillance of the aorta with CT scan to monitor for potential complications.
Acute aortic dissection is a serious condition affecting the aorta which can be deadly if diagnosis
and treatment are not instituted urgently. Sudden onset, severe chest or back pain should never
be ignored and prompt medical evaluation should be sought so that this devastating condition is
not missed.
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Am from the north Carolina. I caught genital herpes from my ex boyfriend who never had any symptoms of herpes . I had it for 4 years and it has literally affected my life before I got cured. People think herpes is really a minor skin irritation, herpes has long term effects on health. The stigma attached to this virus by ignorant people is ridiculous. Most people have herpes in one form or another but they might not be aware of it. I would like to advise people on how I got rid of my herpes by using Dr Sikies medicine. I saw a comment posted by a woman from Ireland on the internet that she got rid of her herpes with the help of Doctor Sikies and I was so happy when I saw that post. I quickly contacted doctor sikies regarding a cure for herpes. I explained things to him and he assured me not to worry that he will cure me. I ordered his medicine which was sent to me via DHL. i got the herbal medicine and i used it as i was told for the period of 2 weeks which is twice a day ( morning and at night before going to bed) .after 2 weeks, i found out that the herpes was no more and this was also confirmed by my doctor. If you have herpes or other similar disease and you want it cure, kindly contact Doctor sikies WhatsApp wa.me/+2348163430143 / Email drsikies@gmail.com Dr Sikies can also cure HIV, stroke, ulcer, depression, autism, cancer, diabetes etc.
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Reconciliation spell to get Ex lover back,
I never thought getting my husband back and saved my marriage could be this easy. My name is Heather Delaney. I married the love of my life Riley on 10/02/15 and we now have two beautiful girls Abby & Erin, who are conjoined twins, that were born 07/24/16. My husband left me and moved to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, contact Dr. Excellent if you are passing through any difficulty in life or having troubles in your marriage or relationship, he is capable of making things right for you. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: Excellentspellcaster@gmail.com ,For more information visit his website:https://drexcellentspellcaster.godaddysites.com Saturday, May 9, 2026
2017 MY MOTHER WAS DIAGNOSED OF HERPES/ KNOWN AS GENITAL WARTS ,I SPENT A LOT OF MONEY ON HER MEDICATION TILL A POINT I EVEN LOST HOPE,BECAUSE MY MOTHER WAS GRADUALLY DYING AND LOST HER MEMORY TOO, I WAS SO DESPERATE TO GET MY MOTHER BACK TO NORMAL, ONE DAY MY UNCLE WHO LIVES IN LONDON UNITED KINGDOM TOLD ME ABOUT DR OLIHA ,WHO HELPED HIM GET RID OF HERPES /GENITAL WART WITH HERBAL MEDICINE AND HIS HERBAL SOAP ,I WAS SO SHOCKED WHEN HE TOLD ME ABOUT THIS ,ALTHOUGH I NEVER BELIEVE IN HERB BUT, I KEEP TO BELIEVE BECAUSE MY UNCLE CAN'T TELL ME LIES WHEN IT COMES TO HEALTH CONDITION I CONTACTED DR OLIHA VIA HIS EMAIL; OLIHA.MIRACLEMEDICINE@GMAIL.COM , YOU CAN TALK TO HIM VIA CALL OR WHATSAPP MESSENGER ON +2349038382931 , HE REPLIED AND ASK ME TO SEND MY HOME ADDRESS AND MY MOTHER'S DETAIL AND THEN I PURCHASED THE HERBAL MEDICINE,SENT ME THE HERBAL MEDICINE THROUGH COURIER SERVICE, WHEN I RECEIVED THIS HERBAL MEDICINE USED IT FOR 2 WEEKS, AND 4 DAYS OF USAGE THE WARTS FELL OFF, MY MOTHER I NOW TOTALLY CURED AND MY MOTHER IS LIVING FREE AND HAPPY AGAIN. YOU CAN TALK TO DR VIA HIS MOBILE NUMBER OR WHATS APP HIM ON +2349038382931 OR https://olihamiraclemedici.wixsite.com/drolihamiraclemedici/ ALL THANKS TO DOCTOR DR OLIHA Saturday, May 9, 2026