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Recent Journal Updates

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Clinical Context

We think this might be relevant to the clinical guidance for Aortic Dissection Detection Risk Score (ADD-RS).

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Clinical Context

We think this might be relevant to the clinical guidance for Aortic Dissection Detection Risk Score (ADD-RS).

JAMAJun 2, 2026
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Clinical Context

We think this might be relevant to the clinical guidance for Aortic Dissection Detection Risk Score (ADD-RS).

ADD-RS

Bedside Triage • Standardized pre-test probability

Cardiology Registry

Aortic Dissection Detection Risk Score (ADD-RS)

Registry Active

Select predisposing conditions, pain features, and exam findings to start.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

High-Acuity Triage

Adult patients presenting to the Emergency Department with symptoms suggestive of Acute Aortic Syndrome (AAS).
Symptoms include new-onset chest, back, or abdominal pain (typically described as abrupt or severe).
Evaluation of syncope or focal neurological deficits in the context of trunk pain.
Screening for perfusion deficits (pulse differential, limb ischemia, or visceral ischemia).

AAS Definition & Prevalence

Acute Aortic Syndrome (AAS) is a clinical spectrum encompassing Acute Aortic Dissection (AAD Type A & B), Intra-mural Haematoma (IMH), Penetrating Aortic Ulcer (PAU), and Aortic Rupture. Prevalence in suspected cohorts varies widely from 0.3% (DAShED study) to over 20% in high-acuity tertiary registries (ADvISED trial).

Exclusion Criteria

Primary major trauma cases (where aortic injury is secondary to blunt/penetrating force).
Incidental findings of aortic dilation/aneurysm in asymptomatic patients.
Chronic aortic conditions (>14 days from symptom onset).

Related Scores in Practice

In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the Wells Pe Score, Heart Risk Score, Ottawa Heart Failure Risk or the ABCD2 Score to formulate a comprehensive care plan.

Last Comprehensive Review: 2026

Related Cardiovascular Tools

Ottawa Heart Failure Risk
ABCD2 Score
QTc
Sgarbossa Criteria
BAG-AHF Score
Framingham 10-Year Risk
LV Stroke Work Index
Wilkins Score
ABC-AF Stroke Score
ORBIT Score
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