Dissecting Aortic Aneurysm - page 2

Hi, Why is it that in a patient with a suspected dissected aortic aneurysm, blood pressure should be checked in both arms. Thankyou.... Read More

  1. by   highlandlass1592
    Lost my other link for you. Anyways, here is one link:
    http://www.iradonline.org/treatment.html

    We are a specialty center for management, treatment & repair of both dissections & aneurysms, see these all the time. You have a difference in blood pressure due to the tear & where circulation is compromised. (Basically a dissection will lead to 2 lumens in the aorta instead of one. The false lumen, where the clot is located can not give adequate perfusion to the affected areas of the body. You also have a catecholamine release with a tear which will affect pressures.)

    If you want to research further, do a lit search in AJN, they had an article on dissections from a couple of years ago (has a great cross-section picture of the aorta which will give you a great visual of what's going on). Circulations, journal of AHA, also had an excellent article. My computer is down (where I have the articles saved) otherwise I'd give you the specific citations. (on my iPad now) I use both of those articles when teaching nurses about dissections. Hope it helps
  2. by   highlandlass1592
    Apologies. Top of my screen was cut off so I didn't see title, only one post
  3. by   grantz
    Quote from highlandlass1592
    Apologies. Top of my screen was cut off so I didn't see title, only one post
    No problem highlandlass1592. We are just human.

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