Key result
Type A aortic dissection presents as a hidden, lethal cause of failed thrombolysis in AMI.
Why the study?
Type A aortic dissection can be a hidden and lethal cause of failed thrombolytic treatment in acute myocardial infarction.
Type A aortic dissection can mimic acute inferior myocardial infarction and lead to failed or catastrophic thrombolytic therapy.
May indicate aortic dissection in thrombolysis failure for AMI; leaves open need for prospective diagnostic studies.
A 61-year-old woman with a history of hypertension presented at our institution owing to severe chest pain for 1 hour; she denied back pain. A 12-lead electrocardiogram showed a marked ST-segment elevation in leads II, III and aVF, compatible with acute inferior myocardial infarction. Bilateral radial pulses were equal and auscultation did not disclose …
No takes yet. Share an insight, caveat, or question.
Lee et al. (2009) studied this question. Type A aortic dissection is a hidden and lethal underlying cause for failed thrombolytic treatment in patients presenting with acute myocardial infarction.