Friday, 8 June 2018

Aortic Dissection Causes, Symptoms, Diagnosis, Treatment and Statistics From World Championship in Medical Science

According to World Championship in Medical Science, An aortic dissection is a serious condition in which the inner layer of the aorta, the large blood vessel branching off the heart, tears. Blood surges through the tear, causing the inner and middle layers of the aorta to separate (dissect). Aortic dissection is a serious condition in which there is a tear in the wall of the major artery carrying blood out of the heart (aorta). As the tear extends along the wall of the aorta, blood can flow in between the layers of the blood vessel wall (dissection).

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Causes of Aortic Dissection Symptoms of Aortic Dissection Diagnosis of Aortic Dissection Treatment of Aortic Dissection Statistics of Aortic Dissection


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Aortic dissections are divided into two groups, depending on which part of the aorta is affected:
  • Type A. This more common and dangerous type involves a tear in the part of the aorta where it exits the heart or a tear in the upper aorta (ascending aorta), which may extend into the abdomen.
  • Type B. This involves a tear in the lower aorta only (descending aorta), which may also extend into the abdomen.
Other potential risk factors include:
  • Sex. Men have about double the incidence of aortic dissection.
  • Age. The incidence of aortic dissection peaks in the 60s and 80s.
  • Cocaine use. This drug may be a risk factor for aortic dissection because it temporarily raises blood pressure.
  • Pregnancy. Infrequently, aortic dissections occur in otherwise healthy women during pregnancy.
  • High-intensity weightlifting. This and other strenuous resistance training may increase the risk of aortic dissection by increasing blood pressure during the activity.



Sudden severe chest or upper back pain, often described as a tearing, ripping or shearing sensation, that radiates to the neck or down the back. Sudden severe abdominal pain.

Typical signs and symptoms include:
  • Sudden severe chest or upper back pain, often described as a tearing, ripping or shearing sensation, that radiates to the neck or down the back
  • Sudden severe abdominal pain
  • Loss of consciousness
  • Shortness of breath
  • Sudden difficulty speaking, loss of vision, weakness or paralysis of one side of your body, similar to those of a stroke
  • Weak pulse in one arm or thigh compared with the other
  • Leg pain
  • Difficulty walking
  • Leg paralysis


Frequently used imaging procedures include:
  • Transesophageal echocardiogram (TEE). This test uses high-pitched sound waves to produce an image of the heart. A TEE is a special type of echocardiogram in which an ultrasound probe is inserted through the esophagus. The ultrasound probe is placed close to the heart and the aorta, providing a clearer picture of your heart than would a regular echocardiogram.
  • Computerized tomography (CT) scan. CT scanning generates X-rays to produce cross-sectional images of the body. A CT of the chest is used to diagnose an aortic dissection, possibly with an injected contrast liquid. Contrast makes the heart, aorta and other blood vessels more visible on the CT pictures.
  • Magnetic resonance angiogram (MRA). An MRI uses a magnetic field and pulses of radio wave energy to make pictures of the body. An MRA uses this technique to look at blood vessels.


Treatment for type A aortic dissection may include:
  • Surgery. Surgeons remove as much of the dissected aorta as possible, block the entry of blood into the aortic wall and reconstruct the aorta with a synthetic tube called a graft. If the aortic valve leaks as a result of the damaged aorta, it may be replaced at the same time. The new valve is placed within the graft used to reconstruct the aorta.
  • Medications. Some medications, such as beta blockers and nitroprusside (Nitropress), reduce heart rate and lower blood pressure, which can prevent the aortic dissection from worsening. They may be given to people with type A aortic dissection to stabilize blood pressure before surgery.


Statistics of Aortic Dissection


In its natural evolution, without treatment, acute type A aortic dissection reportedly has a mortality rate of about 1% per hour initially, with half of the patients expected to be dead by the 3rd day, and almost 80% by the end of the 2nd week.

 However, there are few differences in the demographics and outcome of aortic dissections between the International Registry of Acute Aortic Dissection centers in Europe (99% white) and those in North America (91% white).

Aortic dissection is estimated to occur at a rate of 3-4 cases per 100,000 persons per year and is associated with a high mortality. The true incidence of aortic dissection is difficult to determine, because of many not correctly diagnosed cases which escape notice.






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Winning Championship in academics is a lifetime achievement for a medical practitioner like other academicians. Hospital industry wants to employ leading celebrities for their specialties for their key management positions, so Public Health Experts are demonstrating their supreme skills in World Championship in Medical Science. World Championship in Medical Science has offered great career opportunities for medical practitioners. A recent study shows that patients and employers seek best medical health facility with even higher purchasing power. World Championship in Medical Science announced to register research in all medical specialties including but not limited to following-



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