Torakal aortadisseksjon - en viktig differensialdiagnose ved brystsmerter og EKG-forandringer
Engelsk titel: Aortic dissection - a differential diagnosis in patients with chest pain and ECG changes
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Författare:
Fossum E
;
Ata B
;
Eritsland J
;
Klöw NE
;
Mangschau A
Email: eigil.fossum@ioks.uio.no
Språk: Nor
Antal referenser: 4
Dokumenttyp:
Fallbeskrivning
UI-nummer: 03101432
Sammanfattning
INTERPRETATION : In patients with chest pain and ST elevation, aortic dissection must be considered as a differential diagnosis before thrombolytic therapy.
RESULTS : Fourteen patients were identified. Only two patients had normal ECG, six had ST elevation. Two patients had received antithrombotic or 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.
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.