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IRAD Risk Score (Aortic Dissection) Calculator

IRAD Risk Score (Aortic Dissection): Explanation and Clinical Context IRAD Risk Score is a validated clinical tool to assess the probability of acute aortic dissection (AAD) in patients presenting to emergency departments. It is based on three domains: predisposing conditions (such as Marfan syndrome, aortic aneurysm, or chronic hypertension), pain characteristics (abrupt onset, severe intensity, and migrating nature

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IRAD Risk Score (Aortic Dissection): Explanation and Clinical Context IRAD Risk Score is a validated clinical tool to assess the probability of acute aortic dissection (AAD) in patients presenting to emergency departments. It is based on three domains: predisposing conditions (such as Marfan syndrome, aortic aneurysm, or chronic hypertension), pain characteristics (abrupt onset, severe intensity, and migrating nature), and physical examination findings (pulse deficits, neurologic deficits, hypotension/shock/tamponade). The score ranges from 0 to 9, stratifying patients into low, intermediate, or high risk for AAD, guiding the need for immediate imaging like CT angiography or TEE.

This scoring system facilitates rapid triage and clinical decision-making but does not replace definitive diagnostic tests.

Evidence & references1 primary source mapped
  1. Source 1

    Rogers AM, Hermann LK, Booher AM, et al. "Sensitivity of the International Registry of Acute Aortic Dissection (IRAD) Risk Score in Identifying Acute Aortic Dissection." Circulation. 2011;123:2213-2218. doi:10.1161/CIRCULATIONAHA.110.006579 Nienaber CA, Eagle KA. "Aortic Dissection: New Frontiers in Diagnosis and Management." Circulation. 2003;108:628-635. doi:10.1161/01.CIR.0000083517.64260.9F

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Clinical structure and calculation context point directly to Source 1; additional primary references remain listed for auditability.