[Acute aortic syndrome mimicking anterior wall ST-elevation myocardial infarction].
We present a case of a 58-year-old man presenting with chest pain irradiating to the back and left arm, history of smoking and untreated hypertension. The anamnesis, symptoms and ECG findings consisting of ST elevation in leads aVR and V1-V2 suggested ST segment elevated myocardial infarction. Performed ECHO examination revealed possible acute aortic dissection. Considering haemodynamic instability, augmentation of chest pain and passing time which was obviously worsening the prognosis patient was submitted to aortography which finally proofed acute aortic dissection. Patient was subsequently transferred to cardiac surgery unit and successfully treated.
Silesian Medical University. greg_kubiak@yahoo.com.
Grzegorz
G
Kubiak
Grażyna
G
Glanowska
Leszek
L
Kubiak
Magdalena
M
Traczewska
Ewa
E
Nowalany-Kozielska
D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001027:Aortography; D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D053840:Brugada Syndrome; D000075224:Cardiac Conduction System Disease; D003937:Diagnosis, Differential; D006329:Heart Conduction System / Q000002:abnormalities; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis