Painless Aortic Dissection in the Emergency Department

From Medscape:

The authors performed a retrospective observational study comparing patients with AAD presenting with chest pain versus those presenting without chest pain. The study was conducted at a tertiary and quaternary referral center in Hong Kong with an annual ED attendance of 120,000 patients.

Between January 1, 2004, and August 31, 2015, 141 patients with AAD were identified. Sixty-one patients (43%) did not have chest pain on presentation to the ED.

No significant differences in risk factors were identified among patients with and those without chest pain.

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