• Dismissing AAD from the differential diagnosis because the pain is in the anterior chest
  • Dismissing the diagnosis of AAD because the patient does not have differential pulses or blood pressures
  • Excluding AAD because the patient has pain for only a short period or has no pain at all
  • Not appreciating that migratory pain is highly specific for AAD
  • Not performing a second ‘definitive’ investigation if the first is negative in a patient with a high clinical suspicion of AAD
  • Not adequately controlling elevated blood pressure in patients with AAD
  • Using vasodilators alone in the management of blood pressure in patients with AAD.