Overview
The goal of this observational study is to determine the utility of desmosine, D-dimer and aggrecan as early diagnostic biomarkers in aortic dissection. The main questions it aims to answer are:
- To investigate the plasma levels of selected biomarkers in ED patients with confirmed aortic dissection
- To study the diagnostic performance of plasma levels of selected biomarkers for aortic dissection
- To study the association between plasma levels of selected biomarkers and clinical outcomes
Eligibility
Inclusion Criteria:
- Age ≥ 18 years
- Presentation to the ED with first 24 hours of symptoms suggesting AD, including chest pain, upper back pain, syncope of unknown cause, symptoms of any acute perfusion deficit
- Confirmed AD
- the diagnosis of AD adjudicated by an independent expert panel at hospital discharge or death, whichever comes first
- The expert panel will consist of (1) a specialist in Emergency Medicine and (2) a specialist in Cardiology and (3) a specialist in Cardiothoracic Surgery.
Exclusion Criteria:
- Age <18 years old
- Pregnancy
- Surgery or stenting performed before recruitment