Clinical analysis of acute aortic dissection misdiagnosed of acute coronary syndrome
Lyu Xueya
Wei Ming
Zhang Sujuan
Song Yuqing
Abstract：Objective To analyze the clinical features of patients with acute aortic dissection (AAD) misdiagnosed of acute coronary syndrome(ACS).Methods From January 2012 to December 2017,6 Stanford type A AAD patients with the initial misdiagnosis of ACS in Beijing Ditan Hospital,Capital Medical University were retrospectively analyzed.Clinical manifestations,laboratory results,treatments and prognosis were analyzed.Results One patient was complicated with hypertension.One patients was complicated wity old myocardial infarction.All patients reported chest pain as the main symptom;3 of them had back radiation pain.Electrocardio-gram manifested multi-lead ST-T changes;2 patients showed Ⅱ,Ⅲ,AVF lead ST-segment elevation 0.1-0.3 mY;1 patient showed Ⅱ,Ⅲ,AVF lead ST-segment depression;3 patients showed ST-segment depression or T-wave lowering/inversion of V4-V6 lead.All patients underwent coronary angiography and 4 of them had aortic CT angiography.Main therapeutic measures included blood pressure and heartbeat control and vascular surgical treatments.Conclusions AAD patients with ischemic or injury changes in electrocardiogram are likely to be misdiagnosed of ACS.In patients with initial diagnosis of ACS,adequate auxiliary examinations are necessary to exclude AAD.
Keywords：Acute aortic dissectionAcute coronary syndromeMisdiagnose
Publication Date：2018-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1634-1636 )