Aortic Dissection

Overview

4.7 out of 5 (466 Reviews)

Credits

2.50

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Start Date

1 Sep 2023

Last Review Date

6 Oct 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

150 Minutes

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Activity Description

Aortic dissection is a life-threatening condition characterized by the tearing of the aortic wall, creating a false lumen that can compromise blood flow to vital organs; this condition typically presents with sudden, severe chest or back pain and may lead to catastrophic complications such as aortic rupture, cardiac tamponade, or organ ischemia. Early recognition, prompt imaging, and appropriate surgical or medical management are crucial for survival. Management involves a multifaceted approach, including blood pressure control, pain management, and potential surgical intervention, depending on the type and location of the dissection. Long-term follow-up is essential to monitor for complications like redissection, aneurysm formation, and cardiovascular events.

Clinicians participating in this course gain a comprehensive understanding of the pathophysiology, diagnosis, and management of aortic dissection and insights into recent advancements in treatment modalities and patient care strategies. The course enhances clinicians' ability to identify high-risk patients, interpret imaging findings, and apply evidence-based therapeutic interventions. Participants will also learn about the importance of interprofessional collaboration and effective communication that improves patient outcomes and ensures patient safety in complex cases.

Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

Identify the clinical signs and symptoms of aortic dissection to ensure timely recognition in patients presenting with chest pain.
Differentiate between aortic dissection and other potential causes of acute chest pain, such as myocardial infarction or pulmonary embolism.
Select the most effective pharmacologic interventions to manage blood pressure and heart rate in patients with aortic dissection.
Collaborate with surgical and medical teams to develop a comprehensive management plan for patients diagnosed with aortic dissection.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Authors: David Levy, Sanjeev Sharma, Yulia Grigorova, Fabiola Farci
Editors: Jacqueline K. Le
Editor-in-Chief: Sanjeev Sharma
Nurse Reviewer: Sandra Coleman
Pharmacy Reviewer: Mark V. Pellegrini

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Nurses: StatPearls designates this activity for 2.50 ANCC contact hour(s). Nurses should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

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Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

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I do not think it's common to use TEE to diagnose dissection, by far the majority of patients are diagnosed with CTA and TEE doesn't occur until they are in the OR. Additionally it is not common to use propranolol, by far the short acting beta blocker would be esmolol. As a CT surgeon and intensivist I have never seen these included in the initial diagnosis or management of a patient.

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can you forward these directly to ABIM for MOC???

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Great work

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I really like the explanations given for the answers. It really helps with further understanding of the subject matter.

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