Complete heart block as an initial presentation of aortic dissection.
We report a case emphasizing the importance of including type A acute aortic dissection in the differential diagnosis of patients presenting with compete heart block, where emergent surgery is the treatment of choice and any delay in diagnosis and treatment can be catastrophic.
Department of Cardiology at St Joseph's Regional Medical Center, USA.
Upamanyu
U
Rampal
Internal Medicine at St Joseph's Regional Medical Center, USA. Electronic address: drrahulvasudev@gmail.com.
Rahul
R
Vasudev
Department of Cardiology at St Joseph's Regional Medical Center, USA.
Mahesh
M
Bikkina
Department of Cardiology at St Joseph's Regional Medical Center, USA.
Fayez
F
Shamoon
D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis; D001027:Aortography; D054537:Atrioventricular Block / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
Acute coronary syndrome; Aortic dissection; Complete heart block; Ischemic changes and heart block in aortic dissection