Key result
Type A aortic dissection manifesting as acute myocardial infarction occurred in 5% of patients and was associated with a 36% mortality rate compared to 17% in the overall Type A cohort.
Population
531 patients admitted with acute aortic dissection, including 239 with Stanford type A aortic dissection, of…
Design
Cohort
Authors
Loading...
High mortality when Type A dissection mimics AMI warrants diagnostic vigilance; leaves open whether TTE/D-dimer screening improves detection.
Observational (n=531)
No
Absolute Event Rate: 36% vs 17%
Type A aortic dissection presenting as AMI is a rare but highly lethal condition where prompt use of TTE and D-dimer can prevent catastrophic misdiagnosis prior to coronary angiography.
Luo et al. (2009) conducted an observational in Type A aortic dissection (n=531). Initial presentation of acute myocardial infarction vs. Overall Type A aortic dissection cohort was evaluated on Mortality. Type A aortic dissection manifesting as acute myocardial infarction occurred in 5% of patients and was associated with a 36% mortality rate compared to 17% in the overall Type A cohort.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: