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Case highlights the importance of considering aortic dissection when faced with specific chest pain and ECG findings.
A 74-year-old man presented with abrupt chest and back pain, shock, and electrocardiographic features of global subendocardial ischaemia. Computed tomography angiography identified acute Stanford type A aortic dissection extending into the left main coronary artery with near-complete obstruction, underscoring the need to consider aortic dissection before invasive coronary angiography when left main-like electrocardiographic findings are accompanied by tearing back pain and haemodynamic collapse.
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Liao et al. (2026) studied this question.
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