Ziyu Zheng, Zi Ye, Yingxiong Huang, Jia Xu, Ruibin Cai, Hong Zhan
BACKGROUND: Acute myocardial infarction (AMI) concomitant with aortic dissection (AD) is rare but a devastating situation if misdiagnosed as simply AMI, followed by anticoagulant or thrombolytic therapy. In such cases, Standford type B AD was extremely infrequent. OBJECTIVES: To present a case with apparent concordance with the patient's history, symptoms, cardiac enzymes that lead to diagnostic error. CASE REPORT: An 85-year-old man with chronic hypertension and coronary atherosclerotic heart disease presented in our emergency department with squeezing retrosternal chest pain and dyspnea...
December 2013: Journal of Cardiovascular Disease Research