Document Detail

Dissection of the ascending aorta mimicking an acute coronary syndrome: usefulness of transthoracic echocardiography for the differential diagnosis.
MedLine Citation:
PMID:  12407829     Owner:  NLM     Status:  MEDLINE    
We describe the case of 2 patients presenting with chest pain and electrocardiographic signs of myocardial ischemia, in whom a transthoracic echocardiogram, performed urgently at the bedside, allowed a diagnosis of dissection of the ascending aorta. Prompt recognition of this condition avoided inappropriate aggressive medical treatments and permitted emergency surgical intervention. Aortic dissection can mimic other conditions including an acute coronary syndrome. When the diagnosis is unclear it may be useful to perform a transthoracic echocardiogram before starting any aggressive medical treatment because in such cases thrombolytic or anticoagulant therapy and antithrombotic treatment with platelet glycoprotein IIb/IIIa receptor antagonists can results in serious side effects. On the other hand, transthoracic echocardiography can confirm the suspicion of an acute coronary syndrome or suggest other diagnoses such as aortic dissection.
Virginia Scarabeo; Attilio Di Marco; Attilio Pantaleoni; Francesco Contessotto; Enzo Mantovani; PierGiuseppe Piovesana
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  3     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-10-31     Completed Date:  2003-03-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  490-4     Citation Subset:  IM    
Department of Cardiology, P. Cosma Hospital, Camposampiero, PD, Italy.
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MeSH Terms
Aneurysm, Dissecting / diagnosis*,  surgery
Aortic Aneurysm*
Diagnosis, Differential
Middle Aged
Myocardial Ischemia / diagnosis*

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