Guideline
Diagnosing acute aortic syndrome: a Canadian clinical practice guideline
Robert Ohle, Justin W. Yan, Krishan Yadav, Alexis Cournoyer, David W. Savage, Prasad Jetty, Rony Atoui, Bindu Bittira, Brock Wilson, Ashish Gupta, Niamh Coffey, Yvonne Callaway, Jeffrey Middaugh, Dominique Ansell, Fraser Rubens, Stephen J. Bignucolo, Terena-Marie Scott, Sarah McIsaac and Eddy Lang
CMAJ July 20, 2020 192 (29) E832-E843; DOI: https://doi.org/10.1503/cmaj.200021
Robert Ohle
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MBBCh MScJustin W. Yan
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD MScKrishan Yadav
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD MScAlexis Cournoyer
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDDavid W. Savage
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD PhDPrasad Jetty
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDRony Atoui
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD MScBindu Bittira
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD MScBrock Wilson
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDAshish Gupta
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDNiamh Coffey
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDYvonne Callaway
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MA MBAJeffrey Middaugh
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD MScDominique Ansell
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MD MScFraser Rubens
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDStephen J. Bignucolo
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MDTerena-Marie Scott
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
BSc RNSarah McIsaac
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
MBBCh MEdEddy Lang
The Department of Emergency Medicine, Health Science North Research Institute (Ohle, Middaugh, Ansell, Scott), Northern Ontario School of Medicine, Sudbury, Ont.; Patient representative (Callaway), Alexandria, Ont.; Division of Cardiac Surgery (Rubens), University of Ottawa, Ottawa, Ont.; Division of Emergency Medicine, Department of Medicine (Yan), Western University, London, Ont.; Department of Emergency Medicine (Yadav), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Emergency Medicine (Cournoyer), Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Que.; Department of Emergency Medicine (Savage), Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ont.; Department of Vascular Surgery (Jetty), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Division of Cardiac Surgery (Atoui), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Division of Cardiac Surgery (Atoui, Bittira), Health Sciences North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Radiology (Gupta), The Ottawa Hospital, University of Ottawa, Ottawa, Ont.; Department of Radiology (Coffey), Trillium Hospital, University of Toronto, Mississauga, Ont.; Division of Cardiac Anesthesiology (Wilson), Department of Anesthesiology and Pain Medicine, University of Ottawa Heart Institute, Ottawa, Ont.; Department of Emergency Medicine (Bignucolo), Espanola Regional Hospital, Northern Ontario School of Medicine, Espanola, Ont.; Department of Anaesthesia (McIsaac), Department of Critical Care, Health Science North, Northern Ontario School of Medicine, Sudbury, Ont.; Department of Emergency Medicine (Lang), Cumming School of Medicine, University of Calgary and Rockyview General Hospital (Lang), Calgary, Alta.
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Diagnosing acute aortic syndrome: a Canadian clinical practice guideline
Robert Ohle, Justin W. Yan, Krishan Yadav, Alexis Cournoyer, David W. Savage, Prasad Jetty, Rony Atoui, Bindu Bittira, Brock Wilson, Ashish Gupta, Niamh Coffey, Yvonne Callaway, Jeffrey Middaugh, Dominique Ansell, Fraser Rubens, Stephen J. Bignucolo, Terena-Marie Scott, Sarah McIsaac, Eddy Lang
CMAJ Jul 2020, 192 (29) E832-E843; DOI: 10.1503/cmaj.200021
Diagnosing acute aortic syndrome: a Canadian clinical practice guideline
Robert Ohle, Justin W. Yan, Krishan Yadav, Alexis Cournoyer, David W. Savage, Prasad Jetty, Rony Atoui, Bindu Bittira, Brock Wilson, Ashish Gupta, Niamh Coffey, Yvonne Callaway, Jeffrey Middaugh, Dominique Ansell, Fraser Rubens, Stephen J. Bignucolo, Terena-Marie Scott, Sarah McIsaac, Eddy Lang
CMAJ Jul 2020, 192 (29) E832-E843; DOI: 10.1503/cmaj.200021
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