Coronary artery dissection: a management dilemma in the district general hospital
Autor: | Haskins Kv, Bougeard Am |
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Rok vydání: | 2010 |
Předmět: |
Adult
Chest Pain medicine.medical_specialty Myocardial Infarction Coronary Angiography Critical Care and Intensive Care Medicine Chest pain Sudden death Diagnosis Differential Electrocardiography Internal medicine medicine Humans Myocardial infarction medicine.diagnostic_test business.industry Coronary Aneurysm General Medicine medicine.disease Dilemma Aortic Dissection Emergency Medicine Cardiology Female Differential diagnosis medicine.symptom Presentation (obstetrics) Scad business |
Zdroj: | Emergency Medicine Journal. 27:161-163 |
ISSN: | 1472-0213 1472-0205 |
DOI: | 10.1136/emj.2008.066209 |
Popis: | Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischaemia with a high mortality. It most commonly occurs in young women with few risk factors for atherosclerosis. Presentation is varied, from sudden death to chest pain with features of myocardial ischaemia. The case presented highlights the dilemma of the need to treat a myocardial infarction within an acceptable time frame versus exploring a rare but entirely possible pathology, which may only be diagnosed in a tertiary referral centre a minimum of 90 min away. |
Databáze: | OpenAIRE |
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