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Clinical and research medicine: Organic cardiovascular disease (myocarditis, cardiomyopathy, congenital heart disease, rheumatic heart disease, valve
e0607 Analysis on early diagnosis grading model of acute Aortic Dissection
  1. Liu Qiming,
  2. Tang Ming,
  3. Zhou Shenghua,
  4. Chai Xiangping
  1. Department of emergency, Second Xiangya Hospital, Central South University, Changsha, Hunan

Abstract

Objective To investigate the features of the clinical manifestation, laboratory data and imageology information in acute Aortic Dissection (AD) patients, to find the early, right and easy grading model of diagnosising AD.

Method Analyze the clinical manifestation, Laboratory data and imageology information of 182 AD patients, who were our patients at Emergency Department in last three years, and meanwhile, compared them with 184 chest and back ache patients, to search the early diagnosis grading model of AD.

Results If 5 score was the standard of the grading system to early diagnose AD on the basis of logistic regression equation and clincal practice, the sensitivity of AD forecast is 96.7%, specificity is 81.0%.

Conclusions We can improve the emergency diagnose level of AD through establishing the early grading model which contains the stabbing and severe pain, distinct rise of the blood pressure, asymmetry of the blood pressure and/or the pulse, wide arteriae aorta and/or mediastinum on chest x-ray, obvious rise of D-dimmer.

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