Signs and Symptoms
About 96% of individuals with aortic dissection present with severe pain that had a sudden onset. It may be described as tearing, stabbing, or sharp in character. 17% of individuals will feel the pain migrate as the dissection extends down the aorta. The location of pain is associated with the location of the dissection. Anterior chest pain is associated with dissections involving the ascending aorta, while interscapular (back) pain is associated with descending aortic dissections. If the pain is pleuritic in nature, it may suggest acute pericarditis caused by hemorrhage into the pericardial sac. This is a particularly dangerous eventuality, suggesting that acute pericardial tamponade may be imminent.
While the pain may be confused with the pain of a myocardial infarction (heart attack), aortic dissection is usually not associated with the other signs that suggest myocardial infarction, including heart failure, and ECG changes.
Individuals with aortic dissection who do not present with pain have chronic dissection.
Less common symptoms that may be seen in the setting of aortic dissection include congestive heart failure (7%), syncope (9%), cerebrovascular accident (3-6%), ischemic peripheral neuropathy, paraplegia, cardiac arrest, and sudden death. If the individual had a syncopal episode, about half the time it is due to hemorrhage into the pericardium leading to pericardial tamponade.
Neurologic complications of aortic dissection (i.e., cerebrovascular accident (CVA) and paralysis) are due to involvement of one or more arteries supplying portions of the central nervous system.
If the aortic dissection involves the abdominal aorta, compromise of the branches of the abdominal aorta is possible. In abdominal aortic dissections, compromise of one or both renal arteries occurs in 5–8% of cases, while mesenteric ischemia (ischemia of the large intestines) occurs 3–5% of the time.
Read more about this topic: Aortic Dissection
Other articles related to "signs and symptoms, signs, sign":
... As the nodules age, they become bluish purple, brownish, yellowish, and finally green, similar to the color changes that occur in a resolving bruise ... The nodules usually subside over a period of 2–6 weeks without ulceration or scarring ...
... For this reason, British road signs no longer use all capital letters ... much easier to read than "all-caps" and a special font was designed for motorway signs ... See Road signs in the United Kingdom ...
... Road signs in the United Kingdom conform broadly to European norms, though a number of signs are unique and direction signs omit European route numbers ... There is a vast range of signs in use on British roads, from directional sign posts, to signs warning of possible hazards ahead, and regulatory signs ...
... In antique papyri, pentagrams, together with stars and other signs, are frequently found on amulets bearing the Jewish names of God, and used to guard ... Curiously the hexagram is not found among these signs. 31, 112) at Paris and London there are twenty-two signs side by side, and a circle with twelve signs, but neither a pentagram nor a hexagram ...
... Anovulation is usually associated with specific symptoms ... However, it is important to note that they are not necessarily all displayed simultaneously ...
Famous quotes containing the words symptoms and/or signs:
“Murderous desire, hatred, distrust are nowadays the accompanying signs of physical illness: so thoroughly have we embodied our moral prejudices.Perhaps cowardice and pity appear as symptoms of illness in savage ages. Perhaps even virtues might be symptoms.”
—Friedrich Nietzsche (18441900)
“All signs of superhuman nature appear in man as illness or insanity.”
—Friedrich Nietzsche (18441900)