Key result
Extensive aortic dissection can present atypically as an acute inferior myocardial infarction with inferior ST elevation on electrocardiogram.
Extensive aortic dissection can present with ECG changes mimicking acute inferior myocardial infarction, requiring careful clinical evaluation before thrombolysis.
Requires caution for aortic dissection before thrombolysis in inferior STEMI; case reports leave open its true prevalence and diagnostic algorithms.
A 62-year-old hypertensive man presented with central chest pain of sudden onset associated with shortness of breath. He denied back pain, but complained of bilateral hip pain. An ECG showed inferior ST elevation with lateral ST depression (panel A); thrombolysis …
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Tarver et al. (2007) studied this question. Extensive aortic dissection can present atypically as an acute inferior myocardial infarction with inferior ST elevation on electrocardiogram.
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