Clinical Case Database / Category: Case Based Discussion
Acute thoracic aortic syndromes
Dr Andrew RJ Mitchell
Foundation Years Journal, volume 7, issue 6, p.14 (123Doc Education, London, June 2013)
A 25-year-old man presents to the emergency department with chest pain. The patient describes severe, sudden-onset, central chest pain radiating through to his back, which came on whilst out walking his dog. The patient claims to have been previously fit and well with no significant past medical or surgical history. He is a non-smoker, drinks alcohol very occasionally and denies taking any regular medication. In the emergency department, the patient appears pale, sweaty, tachypnoeic and in obvious pain.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database||£29.00||6 months|
|Foundation Years Clinical Cases Database||£39.00||12 months|
Dr Andrew RJ Mitchell (Corresponding author)
Department of Cardiology
Jersey General Hospital
1. Suzuki T, Bassone E, Sawaki D et al. Biomarkers of aortic diseases. American Heart Journal 2013;165:15-25.
2. Suzuki T, Distante A, Eagle K. Biomarker-assisted diagnosis of acute aortic dissection: how far we have come and what to expect. Current Opinions in Cardiology 2010;25:541-545.
3. Harris KM, Strauss CE, Eagle KA, et al. Correlates of delayed recognition and treatment of acute type A aortic dissection: the International Registry of Acute Aortic Dissection (IRAD). Circulation 2011;124:1911-1918
4. Von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Archives of Internal Medicine 2000;160(19):2977-2982
5. Wilson SK, Hutchins GM. Aortic dissecting aneurysms: causative factors in 204 subjects. Archives of Pathology and Labatory Medicine 1982;106(4):175-180.
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.