Research Article

Evaluation of the Canadian Clinical Practice Guidelines Risk Prediction Tool for Acute Aortic Syndrome: The RIPP Score

Table 2

Characteristics of patients with AAS (acute aortic syndrome) and controls.

CharacteristicsN (%)
Risk factorsAAS (N = 379)Controls (N = 379)

Family history6 (1.5)1 (0.2)
Aortic manipulation1 (0.3)0
 Aortic valve disease14 (3.7)0
 Known aortic aneurysm69 (18.2)2 (0.5)
 Known thoracic aortic aneurysm23 (6)0
 Connective tissue disease1 (0.2)0
Pain
 Abrupt onset pain308 (81.2)50 (13.2)
 Tearing/ripping22 (5.8)1 (0.26)
 Migrating/radiating pain302 (79.7)62 (16.4)
 Severe121 (24.6)117 (23.9)
Physical exam
 Hypotension53 (13.9)1 (0.3)
 New murmur16 (4.2)0
 Pulse deficit20 (5.3)1 (0.3)
 Focal neurological deficit41 (10.8)0
 Bilateral blood pressure differential >20 mmHg29 (7.6)2 (0.5)
Impression
 Clinical suspicion for an alternative diagnosis40 (10.6)113 (29.8)
Investigations
 CXR abnormal51 (13.1)0