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Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Clinical features

Look for absent or reduced pulses c

Why?

Absent or reduced pulses make proximal aortic dissection more likely

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
suspected aortic dissection undergoing angiography c (pre-test probability: 1%) proximal aortic dissection
(angiography, surgery or autopsy)
pulse deficits 3.9
(2.3 to 6.6)
3.9% 0.57
(0.43 to 0.74)
0.57%

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CJ   Wotton , CM   Ball , N   Shenker , RS   Phillips