Aortic Dissection Detection Risk Score (ADD-RS)

Marfan syndrome, connective tissue disease, family history of aortic disease, known aortic valve disease, recent aortic manipulation, or known thoracic aortic aneurysm

Chest, back, or abdominal pain described as abrupt onset AND severe/worst-ever/tearing/ripping

Pulse deficit, focal neurological deficit, new aortic regurgitation murmur, or hypotension/shock