30 extractive question-and-answer pairs built from Acute Aortic Syndrome, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 22 of the 30 pairs (73.3%) are explanatory questions and 8 restate a figure. 96.67% of rows pass the corpus quality gate.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("acute-aortic-syndrome-question-and-answer-dataset")
df.head()Sign in with Google to download.
Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 31 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What does a penetrating aortic ulcer cause in the aortic wall? | Ulcer-like lesion in the intima eroding through the media of the aortic wall and forming localized hematoma thereoff | Aortic Dissection (AD) Commonest and Most lethal Intramural Hematoma (IMH) Penetrating Aortic Ulcer (PAU) Formation of Entrance Tear Rupture of Vasa Vasorum Ulceration of atherosclerotic plaque Tear in the aortic intima and blood enters into the media separating the layers Hematoma within the medial layer of the aortic wall without intimal injury Ulcer-like lesion in the intima eroding through the media of the aortic wall and forming localized hematoma thereoff MYOCARDIAL INFARCTION VS ACUTE TYPE A DISSECTION DIAGNOSTIC IMAGING IN ACUTE AORTIC DISSECTION • The main purpose of imaging is the comprehensive assessment of the entire aorta and its branches with primary goals of confirmation of diagnosis, classification of dissection, assessment of branch vessels, and identification of complications (aortic rupture, aortic regurgitation, and malperfusion) • Besides these, imaging is also needed to assess myocardial and valvular function, pulmonary parenchyma, and state of kidneys IMAGING AND DIAGNOSTIC ALGORITHM • Combination of ECG, Chest X-ray, Echocardiography and ECG gated CT angiography provides desired information. | 349 | definition | 1.000 | Aortic Dissection (AD) Commonest and Most lethal Intramural Hematoma (IMH) Penetrating Aortic Ulcer (PAU) Formation of Entrance Tear Rupture of Vasa Vasorum Ulceration of atherosclerotic plaque Tear in the aortic intima and blood enters into the media separating the layers Hematoma within the medial layer of the aortic wall without intimal injury Ulcer-like lesion in the intima eroding through the media of the aortic wall and forming localized hematoma thereoff MYOCARDIAL INFARCTION VS ACUTE TYPE A DISSECTION DIAGNOSTIC IMAGING IN ACUTE AORTIC DISSECTION • The main purpose of imaging is the | 1 | page=1,block=7 | 0.700 | valid |
| What is the defining feature of Type B dissection in the Stanford Classification? | Dissection does not involve the intrapericardial aorta | Chronological Classification: Depending upon the presentation from the onset of pain • Acute dissection: within 14 days • Subacute dissection: between 15 and 90 days • Chronic dissection: more than 90 days B. Anatomical Classification: Stanford Classification is the most commonly used classification. Two types based on involvement of intrapericardial aorta (ascending aorta and aortic root) Type B: Dissection does not involve the intrapericardial aorta. | 401 | definition | 1.000 | Two types based on involvement of intrapericardial aorta (ascending aorta and aortic root) Type B: Dissection does not involve the intrapericardial aorta. | 1 | page=1,block=25 | 0.700 | valid |
| How is the pain typically characterized in cases of dissection? | abrupt, piercing, and well localized | • Clinically, a dissection-related coronary malperfusion may present with ECG changes of primary myocardial ischemia or infarction. This may increase the likelihood of misdiagnosis and inappropriate therapeutic intervention • Before starting the treatment algorithm for myocardial ischemia, it is important to differentiate between a primary coronary event and coronary malperfusion secondary to dissection process • In dissection, pain is usually abrupt, piercing, and well localized. | 448 | definition | 1.000 | This may increase the likelihood of misdiagnosis and inappropriate therapeutic intervention • Before starting the treatment algorithm for myocardial ischemia, it is important to differentiate between a primary coronary event and coronary malperfusion secondary to dissection process • In dissection, pain is usually abrupt, piercing, and well localized. | 1 | page=1,block=39 | 0.700 | valid |
| What does acute aortic syndrome refer to? | a constellation of life - threatening aortic diseases that have similar presentation, but appear to have distinct demographic, clinical, pathological and survival characteristics | Acute aortic syndrome (AAS) is a term used to describe a constellation of life - threatening aortic diseases that have similar presentation, but appear to have distinct demographic, clinical, pathological and survival characteristics • Blood enters through the intimal tear and separates the intima from the media and or adventitia. | 55 | definition | 0.980 | Acute aortic syndrome (AAS) is a term used to describe a constellation of life - threatening aortic diseases that have similar presentation, but appear to have distinct demographic, clinical, pathological and survival characteristics • Blood enters through the intimal tear and separates the intima from the media and or adventitia. | 1 | page=1,block=25 | 0.700 | valid |
| What distinction is crucial before initiating treatment for myocardial ischemia? | a primary coronary event and coronary malperfusion secondary to dissection process | • Clinically, a dissection-related coronary malperfusion may present with ECG changes of primary myocardial ischemia or infarction. This may increase the likelihood of misdiagnosis and inappropriate therapeutic intervention • Before starting the treatment algorithm for myocardial ischemia, it is important to differentiate between a primary coronary event and coronary malperfusion secondary to dissection process • In dissection, pain is usually abrupt, piercing, and well localized. | 332 | relationship | 0.970 | This may increase the likelihood of misdiagnosis and inappropriate therapeutic intervention • Before starting the treatment algorithm for myocardial ischemia, it is important to differentiate between a primary coronary event and coronary malperfusion secondary to dissection process • In dissection, pain is usually abrupt, piercing, and well localized. | 1 | page=1,block=39 | 0.700 | valid |
| What complications can arise from severe acute aortic regurgitation? | heart failure and pulmonary edema | Presence of diastolic murmur of aortic regurgitation, unequal pulses, limb ischemia or neurological complications favor the diagnosis of acute dissection • If dissection is diagnosed with myocardial ischemia it should be managed on the line of dissection and thrombolytic therapy should NOT be initiated COMPLICATION CAUSATIVE MECHANISM PRESENTATION Aortic Regurgitation Loss of support and distortion of aortic valve Diastolic murmur, Severe acute regurgitation can cause heart failure and pulmonary edema Myocardial Ischemia Dissection process involves one or more coronary ostia Chest pain and ECG suggestive of myocardial infarction. | 473 | relationship | 0.970 | Presence of diastolic murmur of aortic regurgitation, unequal pulses, limb ischemia or neurological complications favor the diagnosis of acute dissection • If dissection is diagnosed with myocardial ischemia it should be managed on the line of dissection and thrombolytic therapy should NOT be initiated COMPLICATION CAUSATIVE MECHANISM PRESENTATION Aortic Regurgitation Loss of support and distortion of aortic valve Diastolic murmur, Severe acute regurgitation can cause heart failure and pulmonary edema Myocardial Ischemia Dissection process involves one or more coronary ostia Chest pain and | ||||
| What is the underlying cause of myocardial ischemia in dissection cases? | Dissection process involves one or more coronary ostia | Presence of diastolic murmur of aortic regurgitation, unequal pulses, limb ischemia or neurological complications favor the diagnosis of acute dissection • If dissection is diagnosed with myocardial ischemia it should be managed on the line of dissection and thrombolytic therapy should NOT be initiated COMPLICATION CAUSATIVE MECHANISM PRESENTATION Aortic Regurgitation Loss of support and distortion of aortic valve Diastolic murmur, Severe acute regurgitation can cause heart failure and pulmonary edema Myocardial Ischemia Dissection process involves one or more coronary ostia Chest pain and ECG suggestive of myocardial infarction. | 527 | relationship | 0.970 | Presence of diastolic murmur of aortic regurgitation, unequal pulses, limb ischemia or neurological complications favor the diagnosis of acute dissection • If dissection is diagnosed with myocardial ischemia it should be managed on the line of dissection and thrombolytic therapy should NOT be initiated COMPLICATION CAUSATIVE MECHANISM PRESENTATION Aortic Regurgitation Loss of support and distortion of aortic valve Diastolic murmur, Severe acute regurgitation can cause heart failure and pulmonary edema Myocardial Ischemia Dissection process involves one or more coronary ostia Chest pain and | ||||
| What leads to renal failure in acute aortic syndrome? | Involvement of renal arteries, Compression of true lumen | Coma, Paraplegia/paraparesis Mesenteric malperfusion Involvement of visceral arteries, Compression of true lumen Hypotension, abdominal distension, absent bowel sounds, shock, acidosis Renal failure Involvement of renal arteries, Compression of true lumen, Abnormal renal function tests and low output syndrome decreased urine output Acute Lower Limb Ischemia Involvement of iliac arteries, Compression of true lumen Pain in lower limbs, absent pulses, cold and pale limbs, gangrene Inflammatory Syndrome Inflammatory response to blood /thrombus in the media Fever, Leucocytosis If Acute Aortic Syndrome is suspected kindly | 199 | relationship | 0.970 | Coma, Paraplegia/paraparesis Mesenteric malperfusion Involvement of visceral arteries, Compression of true lumen Hypotension, abdominal distension, absent bowel sounds, shock, acidosis Renal failure Involvement of renal arteries, Compression of true lumen, Abnormal renal function tests and low output syndrome decreased urine output Acute Lower Limb Ischemia Involvement of iliac arteries, Compression of true lumen Pain in lower limbs, absent pulses, cold and pale limbs, gangrene Inflammatory Syndrome Inflammatory response to blood /thrombus in the media Fever, Leucocytosis If Acute Aortic | ||||
| What causes the inflammatory syndrome in acute aortic syndrome? | Inflammatory response to blood /thrombus in the media | Coma, Paraplegia/paraparesis Mesenteric malperfusion Involvement of visceral arteries, Compression of true lumen Hypotension, abdominal distension, absent bowel sounds, shock, acidosis Renal failure Involvement of renal arteries, Compression of true lumen, Abnormal renal function tests and low output syndrome decreased urine output Acute Lower Limb Ischemia Involvement of iliac arteries, Compression of true lumen Pain in lower limbs, absent pulses, cold and pale limbs, gangrene Inflammatory Syndrome Inflammatory response to blood /thrombus in the media Fever, Leucocytosis If Acute Aortic Syndrome is suspected kindly | 505 | relationship | 0.970 | Coma, Paraplegia/paraparesis Mesenteric malperfusion Involvement of visceral arteries, Compression of true lumen Hypotension, abdominal distension, absent bowel sounds, shock, acidosis Renal failure Involvement of renal arteries, Compression of true lumen, Abnormal renal function tests and low output syndrome decreased urine output Acute Lower Limb Ischemia Involvement of iliac arteries, Compression of true lumen Pain in lower limbs, absent pulses, cold and pale limbs, gangrene Inflammatory Syndrome Inflammatory response to blood /thrombus in the media Fever, Leucocytosis If Acute Aortic | ||||
| What does the document say about individual variations in patient management? | There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. | This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 249 | summary | 0.970 | These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. | 2 | page=2,block=0 | 0.700 |
Read straight from the file — download or use the API URL for the full dataset.
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