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Tearing Chest Pain

MedGen UID:
1720206
•Concept ID:
C5238909
•
Sign or Symptom

Definition

The sensation of chest pain described as a sharp, lacerating, intense, discomfort; sometimes used to describe the pain felt during an aortic dissection. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTearing Chest Pain

Professional guidelines

PubMed

Consensus Guidelines for Evaluation and Management of Pulmonary Disease in Sjögren's.
Lee AS, Scofield RH, Hammitt KM, Gupta N, Thomas DE, Moua T, Ussavarungsi K, St Clair EW, Meehan R, Dunleavy K, Makara M, Carsons SE, Carteron NL; Consensus Expert Panel (CEP) Members
Chest 2021 Feb;159(2):683-698. Epub 2020 Oct 16 doi: 10.1016/j.chest.2020.10.011. PMID: 33075377Free PMC Article
Endoscopic Treatment of Eosinophilic Esophagitis.
Richter JE
Gastrointest Endosc Clin N Am 2018 Jan;28(1):97-110. doi: 10.1016/j.giec.2017.07.009. PMID: 29129303
Evaluation and management of diseases of the esophagus.
Meyer GW, Castell DO
Am J Otolaryngol 1981 Nov;2(4):336-44. doi: 10.1016/s0196-0709(81)80043-9. PMID: 7034570

Recent clinical studies

Etiology

Delay from Diagnosis to Surgery in Transferred Type A Aortic Dissection.
Froehlich W, Tolenaar JL, Harris KM, Strauss C, Sundt TM, Tsai TT, Peterson MD, Evangelista A, Montgomery DG, Kline-Rogers E, Nienaber CA, Froehlich JB, Isselbacher EM, Eagle KA, Trimarchi S
Am J Med 2018 Mar;131(3):300-306. Epub 2017 Nov 24 doi: 10.1016/j.amjmed.2017.11.009. PMID: 29180025
Endovascular repair of acute traumatic thoracic aortic transection with laser-assisted in-situ fenestration of a stent-graft covering the left subclavian artery.
Murphy EH, Dimaio JM, Dean W, Jessen ME, Arko FR
J Endovasc Ther 2009 Aug;16(4):457-63. doi: 10.1583/09-2746.1. PMID: 19702349

Diagnosis

Aortic dissection presenting as a stroke: a case report.
Daou R, Khater DA, Khattar R, Helou M
Pan Afr Med J 2023;44:91. Epub 2023 Feb 16 doi: 10.11604/pamj.2023.44.91.38533. PMID: 37229301Free PMC Article
Aortic Dissection Presenting as Shortness of Breath from Diffuse Alveolar Hemorrhage.
Singh J, Bhatia D, Cao DJ, Brewer J, Roppolo L
J Emerg Med 2022 Jul;63(1):e10-e16. Epub 2022 Aug 2 doi: 10.1016/j.jemermed.2022.05.012. PMID: 35931586
From ER to OR-Type A aortic dissection delay dilemma.
Yadav R, Mughal H, Rimmer L, Bashir M
J Card Surg 2021 Mar;36(3):1056-1061. Epub 2021 Jan 8 doi: 10.1111/jocs.15280. PMID: 33415812
Delay from Diagnosis to Surgery in Transferred Type A Aortic Dissection.
Froehlich W, Tolenaar JL, Harris KM, Strauss C, Sundt TM, Tsai TT, Peterson MD, Evangelista A, Montgomery DG, Kline-Rogers E, Nienaber CA, Froehlich JB, Isselbacher EM, Eagle KA, Trimarchi S
Am J Med 2018 Mar;131(3):300-306. Epub 2017 Nov 24 doi: 10.1016/j.amjmed.2017.11.009. PMID: 29180025
ED ultrasound diagnosis of a type B aortic dissection using the suprasternal view.
Rosenberg H, Al-Rajhi K
Am J Emerg Med 2012 Nov;30(9):2084.e1-5. Epub 2012 Jan 12 doi: 10.1016/j.ajem.2011.11.012. PMID: 22244228

Prognosis

Lethal acute aortic dissection complicated with ischemic bowels in the third trimester of pregnancy: A case report.
Huang KL, Leung-Chit Tsang L, Yen HT, Chou YL, Tsai CC, Cheng HH, Lai YJ, Chen YC, Huang YJ, Lan KC, Hsu TY
Taiwan J Obstet Gynecol 2020 Sep;59(5):740-743. doi: 10.1016/j.tjog.2020.07.020. PMID: 32917328
A case report of hemorrhagic cardiac tamponade with rapid blood clot formation: A serious complication of acute type a aortic dissection.
Feng YM, Wan D, Guo R
Medicine (Baltimore) 2018 Dec;97(50):e13699. doi: 10.1097/MD.0000000000013699. PMID: 30558083Free PMC Article
Factitious aortic dissection leading to thoracotomy in a 20-year-old man.
Chambers E, Yager J, Apfeldorf W, Camps-Romero E
Psychosomatics 2007 Jul-Aug;48(4):355-8. doi: 10.1176/appi.psy.48.4.355. PMID: 17600175
Acute aortic dissection--De Bakey Type I and Stanford A.
Vijayakumar AR, Menon S, Kumar S, Prasad S
J Assoc Physicians India 2004 Feb;52:154-5. PMID: 15656052

Clinical prediction guides

A case report of hemorrhagic cardiac tamponade with rapid blood clot formation: A serious complication of acute type a aortic dissection.
Feng YM, Wan D, Guo R
Medicine (Baltimore) 2018 Dec;97(50):e13699. doi: 10.1097/MD.0000000000013699. PMID: 30558083Free PMC Article

Recent systematic reviews

From ER to OR-Type A aortic dissection delay dilemma.
Yadav R, Mughal H, Rimmer L, Bashir M
J Card Surg 2021 Mar;36(3):1056-1061. Epub 2021 Jan 8 doi: 10.1111/jocs.15280. PMID: 33415812

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