CardiologyEmergency MedicineVascular Surgery
Acute Aortic Syndrome / Dissection
AAS includes classical dissection, intramural haematoma, penetrating ulcer — Stanford A vs B, BP/HR control, type-specific management.
Source: ESC 2014 Aortic Diseases; ACC/AHA 2022
Step 1 of ~9
info
Recognise — Severe Sudden Pain
Tearing/ripping chest or interscapular pain, often migrating. Risk: hypertension, connective tissue disease (Marfan, EDS, Loeys-Dietz, Turner), bicuspid AV, prior aortic surgery, recent procedure, pregnancy, cocaine. Examine for: BP differential >20 mmHg between arms, new AR murmur, pulse deficits, focal neurology, syncope, lower-limb ischaemia, end-organ malperfusion.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Nitroprusside · Direct Vasodilator (NO Donor) — Hypertensive Emergency / Aortic Dissection
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Digoxin-specific Antibody Fragments (DigiFab) · Antidote
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
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