Chest Email Content Delivery
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rosman, H. S.
Right arrow Articles by Patel, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Rosman, H. S.
Right arrow Articles by Patel, S.
(Chest. 1999;115:606.)
© 1999 American College of Chest Physicians

Response

Howard S. Rosman, MD, FCCP*; Steven Borzak, MD* and Sarine Patel, MD*

Henry Ford Heart and Vascular Institute Detroit, MI

To the Editor:

We appreciate the comments and the interesting case series described by Drs. Schena, Agnino, and Schinosa in response to our recent report.1 In their series, 154 of 176 patients (88%) with aortic dissection had severe chest pain, while the remaining 22 patients had other symptoms, so that technology played an even more critical role in diagnosis. They conclude that the diagnosis requires "interaction between physicians and machines." We agree. Our point is that a careful, not lengthy, history is what enables the clinician first to consider and then to order the appropriate test in this catastrophic disorder. Their large series corroborates our finding that the initial history is useful in the vast majority of patients. Even in patients in whom the symptoms were not striking, it was still the history that guided the clinician to the appropriate, often lifesaving, diagnostic test and treatment. We all agree that both physicians and machines are essential in every case for rapid diagnosis of aortic dissection.

Correspondence to: Howard S. Rosman, MD, FCCP, Henry Ford Hospital, Cardiovascular Medicine Division, 2799 West Grand Boulevard, Detroit, MI 48202

References

  1. Rosman, HS, Patel, S, Borzak, S, et al (1998) Quality of history taking in patients with aortic dissection. Chest 114,793-795[Abstract/Free Full Text]




This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rosman, H. S.
Right arrow Articles by Patel, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Rosman, H. S.
Right arrow Articles by Patel, S.

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS