Aortic dissection - Symptom
Aortic aneurysm - dissecting
The symptoms usually begin suddenly, and include severe chest pain. The pain may:
- Be described as sharp, stabbing, tearing, or ripping
- Be felt below the chest bone, then moves under the shoulder blades or to the back
- Move to the shoulder, neck, arm, jaw, abdomen, or hips
- Change position -- pain typically moves to the arms and legs as the aortic dissection gets worse
Other symptoms may include:
Signs and tests:
The health care provider will take your family history and listen to your heart, lungs, and abdomen with a stethoscope. A "blowing" murmur over the aorta, a heart murmur, or other abnormal sound may be heard.
There may be a difference in blood pressure between the right and left arms, or between the arms and the legs.
There may be low blood pressure, bulging neck veins, or signs resembling a heart attack. There may be signs of shock, but with normal blood pressure.
Aortic dissection or aortic aneurysm may be seen on:
- Reviewed last on: 5/4/2010
- Issam Mikati, MD, Associate Professor of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Review provided byVeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Poonyagariyagorn H, Hook M, Bhatt DL. Cardiovascular emergencies. In: Cleveland Clinic: Current Clinical Medicine 2009. 1st ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 14.
Ankel F. Aortic dissection. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 83.
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