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Aortic dissection (continued)
Acute onset of tearing or ripping pain in chest, back, and/or neck.
Blood pressure differential (a greater than 20 mm Hg difference in systolic pressure) between the left and right arm.
Also at times:
Focal neurologic signs
Acute renal failure
Loss of pulses in arms
Myocardial infarction due to dissection into coronary artery
Pericardial tamponade due to rupture into pericardium