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Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Clinical features

Look for aortic regurgitation c

Why?

Aortic regurgitation makes a 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)
aortic regurgitation 5.7
(3.3 to 9.6)
5.7% 0.39
(0.27 to 0.56)
0.39%

 

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