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What is the best test to diagnose an aortic dissection?

User Greg Noe
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Final answer:

To diagnose an aortic dissection, the best test is usually a Computed Tomography Angiography (CTA), as it is highly sensitive and provides rapid results. However, depending on availability and specific patient conditions, Magnetic Resonance Imaging (MRI) or Transthoracic Echocardiography (TTE) could be utilized as alternatives.

Step-by-step explanation:

The best test to diagnose an aortic dissection is an imaging test that can visualize the aorta and assess the condition of the aortic wall. The initial portion of the aorta, rising superiorly from the left ventricle, is known to extend for approximately 5 cm before curving into the aortic arch and descending towards the lower part of the body.Among the imaging studies, Computed Tomography Angiography (CTA) is often considered the gold standard due to its high sensitivity and rapid acquisition of images. Magnetic Resonance Imaging (MRI) is another highly sensitive test, especially beneficial as it doesn’t use ionizing radiation, although it is less readily available and takes longer to perform. Transthoracic Echocardiography (TTE) can also be used as an initial test, especially if CTA or MRI are not immediately available, but it may not always detect the dissection.

User Alleo
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