The problem isn’t that we forget to consider aortic dissection, but rather that we forget that aortic dissection has an uncommon presentation. Read this week's post on this chest pain "outlier" and how to best approach diagnosis and management of this deadly clinical entity.
Acute aortic dissection is a potentially catastrophic cardiovascular disease, and is a somewhat rare but exceedingly important diagnosis to make. A low-risk, cost-efficient diagnostic test with the ability to reliably exclude this disease would be useful. Is the D-dimer that test?