Premonitory symptoms of aortic dissection

Jul 27, 2024 Source: Cainiu Health
Disease description:

Leg weakness and occasional unexplained cramps—could these be early symptoms of aortic dissection?

Doctor's answer (1)
Dr. Wang Xin

Aortic dissection is a serious cardiovascular emergency. Its initial symptoms may be subtle, requiring early recognition and prompt treatment. Common early symptoms include:

1. Chest pain: One of the most common symptoms of aortic dissection, typically presenting as sudden, severe, and persistent pain, which may radiate to the back or abdomen.

2. Back pain: In aortic dissection, increased pressure within the aortic wall can cause back pain. This pain usually starts on one side and may extend from the sternum backward.

3. Hypertension: Up to 70% of patients with aortic dissection have a history of hypertension, and poor blood pressure control is one of the main predisposing factors.

4. Peripheral pulse discrepancies: Weakening or absence of the pulse in one limb, or significantly different blood pressure between the two arms, suggests possible involvement of aortic branches.

5. Dyspnea: Aortic dissection may impair circulation and lead to pulmonary congestion, causing shortness of breath.

If the above symptoms occur, especially in combination with severe chest pain and hypertension, prompt medical attention is necessary.