Aortic dissection(AD)is a potentially devastating cardiovascular disease worldwide.However,given the low incidence of AD(2.5 to 3.5 cases per 100,000person-years),the diagnosis of this disease remains relatively diffi...Aortic dissection(AD)is a potentially devastating cardiovascular disease worldwide.However,given the low incidence of AD(2.5 to 3.5 cases per 100,000person-years),the diagnosis of this disease remains relatively difficult in emergency settings.[1,2]Computed tomography aortogram(CTA)is the most commonly used diagnostic tool,which is an invasive investigation with renal impairment and is cost consuming.There are lots of patients at low or moderate risk of AD,which may be no need for CTA screening.As a result,validated clinical strategies beyond clinical judgment are needed to manage patients with suspected AD.展开更多
文摘Aortic dissection(AD)is a potentially devastating cardiovascular disease worldwide.However,given the low incidence of AD(2.5 to 3.5 cases per 100,000person-years),the diagnosis of this disease remains relatively difficult in emergency settings.[1,2]Computed tomography aortogram(CTA)is the most commonly used diagnostic tool,which is an invasive investigation with renal impairment and is cost consuming.There are lots of patients at low or moderate risk of AD,which may be no need for CTA screening.As a result,validated clinical strategies beyond clinical judgment are needed to manage patients with suspected AD.