Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke · 2003
[Aortic dissection--a differential diagnosis in patients with chest pain and ECG changes].
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Fossum Eigil, Ata Bilal, Eritsland Jan, Kløw Nils-Einar, Mangschau Arild
Аннотация
BACKGROUND: The effect of thrombolytic therapy in patients with myocardial infarction is well documented. In patients presenting with chest pain it may, however, be difficult to discriminate between myocardial infarction and aortic dissection only on the basis of clinical manifestations. Moreover, patients with type A dissection may have ECG changes caused by affection of the coronary flow.
MATERIAL AND METHODS: We retrospectively investigated all patients admitted to our hospital with type A dissection of the aorta over the period 1999 to March 2001.
RESULTS: Fourteen patients were identified. Only two patients had normal ECG, six had ST elevation. Two patients had received antithrombotic or thrombolytic therapy.
INTERPRETATION: In patients with chest pain and ST elevation, aortic dissection must be considered as a differential diagnosis before thrombolytic therapy.
MATERIAL AND METHODS: We retrospectively investigated all patients admitted to our hospital with type A dissection of the aorta over the period 1999 to March 2001.
RESULTS: Fourteen patients were identified. Only two patients had normal ECG, six had ST elevation. Two patients had received antithrombotic or thrombolytic therapy.
INTERPRETATION: In patients with chest pain and ST elevation, aortic dissection must be considered as a differential diagnosis before thrombolytic therapy.