Diagnostic value of tearing pain alone in aortic dissection

Basit Öğe Kaydı
dc.authoridDemir, Mehmet Cihat/0000-0002-0106-3383;
dc.contributor.authorSenguldur, Erdinc
dc.contributor.authorSelki, Kudret
dc.contributor.authorDemir, Mehmet C.
dc.contributor.authorGuldal, Hatice
dc.date.accessioned2025-10-11T20:47:55Z
dc.date.available2025-10-11T20:47:55Z
dc.date.issued2024
dc.departmentDüzce Üniversitesien_US
dc.description.abstractSevere and sudden chest or back pain that feels like tearing is the most common symptom of aortic dissection. This study aimed to investigate if chest or abdominal pain alone is a marker of aortic dissection and to determine its patient characteristics. This was a retrospective, single-center observational study. It was conducted in the emergency department (ED) of a tertiary university hospital in Turkey. During three years, patients admitted to the ED and underwent contrast-enhanced thoracic and abdominal computed tomography angiography (CTA) were detected through the hospital computer system. Patients with tearing chest or abdominal pain at admission were identified. Patients with and without aortic dissection were compared based on gender, triage code, comorbidity, aortic aneurysm, and one-month mortality. 76.3% (n = 730) out of 957 CTAs were performed due to complaints of tearing chest or abdominal pain. Aortic dissection was detected in 4.5% (n = 33) of patients with tearing pain. Pre-existing aortic aneurysm was statistically significantly higher in the dissection group (p <0.001). When the chest or abdominal pain and CTA findings regarding the presence of aortic dissection were compared, the sensitivity of tearing pain was 84.62%, and the specificity was 24.07%. The positive predictive value of tearing pain was 4.52%, and the negative predictive value was 97.36%. In conclusion, the negative predictive value of tearing pain for aortic dissection was approximately 97%. This severe pain raises the possibility of aortic dissection. However, aortic dissection is only detected in a small percentage of cases in CTAs performed immediately to confirm the diagnosis.en_US
dc.identifier.doi10.22514/sv.2024.095
dc.identifier.endpage31en_US
dc.identifier.issn1334-5605
dc.identifier.issn1845-206X
dc.identifier.issue8en_US
dc.identifier.scopus2-s2.0-85202176900en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage27en_US
dc.identifier.urihttps://doi.org/10.22514/sv.2024.095
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21647
dc.identifier.volume20en_US
dc.identifier.wosWOS:001288349000004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMre Pressen_US
dc.relation.ispartofSigna Vitaeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectAortic dissectionen_US
dc.subjectTearing painen_US
dc.subjectComputed tomography angiographyen_US
dc.subjectEmergency departmenten_US
dc.titleDiagnostic value of tearing pain alone in aortic dissectionen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu