[Myocardial infarction with elevation of the inferior and anterior ST segment: double artery is the culprit?] / Infarto de miocardio con elevación del segmento ST inferior y anterior: ¿doble lesión culpable?
Rev Med Chil
; 151(9): 1250-1254, 2023 Sep.
Article
em Es
| MEDLINE
| ID: mdl-39093162
ABSTRACT
Chest pain is one of the most frequent reasons for consultation in the emergency department. The most severe pathologies must be quickly ruled out within the diagnostic hypotheses myocardial infarction (MI), aortic dissection, pulmonary thromboembolism, and pneumothorax. A frequent scenario is ST elevation MI due to a plaque accident. However, there are infrequent cases of aortic dissection associated with a deficit in coronary perfusion (malperfusion syndrome) that triggers a MI. The diagnosis of a double artery is difficult, with higher mortality and surgical complexity. We present the case of a 59-year-old man who presented chest pain and an electrocardiogram with inferior and anterior ST-segment elevation who was referred for primary angioplasty. The angiographic study confirmed the presence of a coronary ostium defect and suggested aortic dissection. Computed tomography angiography confirmed the diagnosis, showing the dissection of the ascending aorta with the compromise of both coronary ostia, which was subjected to surgical treatment.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Eletrocardiografia
/
Infarto do Miocárdio com Supradesnível do Segmento ST
/
Dissecção Aórtica
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Rev Med Chil
/
Rev. med. Chile
/
Revista medica de Chile
Ano de publicação:
2023
Tipo de documento:
Article