Publications by authors named "S B Rimm"
Type A Aortic Dissection and Non-Contrast Computed Tomography.
J Community Hosp Intern Med Perspect
May 2023
Article Synopsis
- Non-contrast enhanced chest CT has low sensitivity for detecting acute aortic dissection, while CT Angiography is the preferred diagnostic method.
- A case of a young immunocompromised man with acute abdominal pain and renal injury showed that subtle findings on a non-contrast CT indicated possible aortic dissection.
- Key non-contrast CT findings that suggest aortic dissection include aneurysmal dilation and displaced calcified intimal flaps, which were ultimately confirmed by CT angiography in this patient.
Introduction: An ST-elevation myocardial infarction (STEMI) can portend significant morbidity and mortality to the patient and therefore must be rapidly diagnosed by an emergency medicine (EM) physician. The primary aim of this study is to determine whether EM physicians are more or less likely to accurately diagnose STEMI on an electrocardiogram (ECG) if they are blinded to the ECG machine interpretation as opposed to if they are provided the ECG machine interpretation.
Methods: We performed a retrospective chart review of adult patients over 18 years of age admitted to our large, urban tertiary care center with a diagnosis of STEMI from January 1, 2016, to December 31, 2017.