title: [The diagnostic dilemma of acute thoracic pain].
abstract: Acute aortic dissection is gaining recognition in Western societies, and is being diagnosed with increasing frequency. New diagnostic imaging modalities, longer life expectancy in general, as well as the increase in the number of hypertension patients have all contributed to the growing awareness of aortic dissections. Compared with acute coronary syndrome and lung embolism, aortic dissection is among the most frequently diagnosed life-threatening conditions involving chest pain. Here we report the case of a 59 year old patient suffering from hypertension and discuss the latest diagnostic and therapeutic procedures in the setting of acute chest pain.
authors.affiliation: Klinik und Poliklinik für Innere Medizin, Abteilung Kardiologie, Universität Rostock, Ernst-Heydemann-Str. 6, 18055, Rostock. tilo.kleinfeldt@gmx.de
authors.forename: T
authors.initials: T
authors.lastname: Kleinfeldt
authors.forename: H
authors.initials: H
authors.lastname: Ince
authors.forename: T C
authors.initials: TC
authors.lastname: Rehders
authors.forename: C A
authors.initials: CA
authors.lastname: Nienaber
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis*; D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery; D000800:Angioplasty, Balloon; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D002637:Chest Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006491:Hemothorax / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D015607:Stents; D036542:Tomography, Spiral Computed; D020107:Troponin T / Q000097:blood
chemical_list: D020107:Troponin T