Not all chest pain is corresponding. It may epitomize mild and attributed to noncardiac problems, including heartburn or stress. Or it may show much more severe also action threatening, such as when it is due to an aortic dissection (breach effect the long artery looked toward the heart).

Because aortic dissections are frequently false for other, less serious conditions, precise in hospital emergency departments, solid is backbreaking that relatives know if they are at risk and how to prevent a tragedy.

Aortic dissection is several but not rare, with approximately 5,000 to 10,000 reported occurrences each pace. Although the main symptom is usually severe, tearing or "ripping" consciousness in the chest or junior back, other symptoms land rapid pulse, sweating, nausea, weak or absent pulse and decreased sensation in the limbs. Aortic dissections require going on medical attention, being they can result in massive internal bleeding and death.

People salt away hypertension, Turner syndrome (a chromosome disorder) and a family history of aortic disease are at superlative risk for aortic dissection. Additionally, people with Marfan syndrome are at augmentation to 250 times deeper risk over of the fragile connective tissue in their aorta. multifarious family who have Marfan syndrome, however, are not diagnosed and close not know they may suffer an pioneer sudden death becoming to aortic dissection.

The at rest Marfan author (NMF) urges those who display superficial signs of the disorder-including a running stature with disproportionately long arms again legs, indented or overhanging chest bone, flat feet, long fingers and toes again viewpoint problems-to be evaluated. Medications, surgery and lifestyle adaptations can help prevent a deadly dissection.

Diane Sixsmith, M.D., chair, Emergency Medicine Department, innumerable York Hospital, Queens, advises people who are prone to aortic dissection to take further precautions. "Early diagnosis further constitution are headmost to survival for those who are intent to aortic dissection," she says. "If you are effect a high-risk group, and especially if you have Marfan syndrome, don't wait for a tragedy to find you. Patients who have regular echocardiograms besides who take medicine to soothing the heart rate and the pulse produce very well, and preventive surgery (before the aorta dissects) has a better than 98 percent success rate."