Thoracic Aortic Dissection: ACEP Clinical Policy Update

Apple Podcasts, Spotify, Listen Here

In this episode, we review a new clinical policy from the American College of Emergency Physicians (ACEP) on the use of risk stratification tools (ADD-RS) and D-dimer to exclude non-traumatic thoracic aortic dissection.

https://onlinelibrary.wiley.com/doi/10.1111/acem.13356
Promes SB, Westafer L, Byyny R, Diercks DB et al Critical Issues in the Evaluation and Management of Adult Patients With Suspected Acute Nontraumatic Thoracic Aortic Dissection. Ann Emerg Med. 2025 Jul;86(1):e12-e26. PMID: 40543988. https://pubmed.ncbi.nlm.nih.gov/40543988/
Nazerian Pet al. Diagnostic Accuracy of the Aortic Dissection Detection Risk Score Plus D-Dimer for Acute Aortic Syndromes: The ADvISED Prospective Multicenter Study. Circulation. 2018 Jan 16;137(3):250-258. PMID: 29030346. https://pubmed.ncbi.nlm.nih.gov/29030346/
Nazerian P, Mueller C, Vanni S, et al. Integration of transthoracic focused cardiac ultrasound in the diagnostic algorithm for suspected acute aortic syndromes. Eur Heart J. 2019 Jun 21;40(24):1952-1960. PMID: 31226214. https://pubmed.ncbi.nlm.nih.gov/31226214/