Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation
Acute aortic dissection (AAD) is a critical condition characterized by the tearing of the aortic wall, posing significant diagnostic challenges due to its diverse clinical presentations. We present the case of a 61-year-old male with hypertension and dyslipidemia who presented with acute abdominal a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Heart Views |
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| Online Access: | https://journals.lww.com/10.4103/heartviews.heartviews_44_24 |
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| author | Khalid Sawalha Angel Lopez-Candales |
| author_facet | Khalid Sawalha Angel Lopez-Candales |
| author_sort | Khalid Sawalha |
| collection | DOAJ |
| description | Acute aortic dissection (AAD) is a critical condition characterized by the tearing of the aortic wall, posing significant diagnostic challenges due to its diverse clinical presentations. We present the case of a 61-year-old male with hypertension and dyslipidemia who presented with acute abdominal and chest pain, initially raising suspicion of myocardial infarction. Despite an unremarkable electrocardiogram and initially normal troponin levels, the patient experienced ventricular fibrillation, prompting further evaluation. The patient’s clinical course was complicated by recurrent cardiac arrests. Subsequent imaging revealed AAD, which was not initially recognized, emphasizing the importance of maintaining a broad differential diagnosis and the critical need for prompt recognition and management of AAD. This case underscores the necessity of considering AAD in patients with atypical presentations and the pivotal role of advanced imaging techniques in facilitating timely diagnosis and appropriate intervention. |
| format | Article |
| id | doaj-art-ee96af6b51654d319c8fbc8d31d3a36d |
| institution | Kabale University |
| issn | 1995-705X 0976-5123 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj-art-ee96af6b51654d319c8fbc8d31d3a36d2025-02-06T05:22:53ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X0976-51232024-07-0125316917310.4103/heartviews.heartviews_44_24Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain PresentationKhalid SawalhaAngel Lopez-CandalesAcute aortic dissection (AAD) is a critical condition characterized by the tearing of the aortic wall, posing significant diagnostic challenges due to its diverse clinical presentations. We present the case of a 61-year-old male with hypertension and dyslipidemia who presented with acute abdominal and chest pain, initially raising suspicion of myocardial infarction. Despite an unremarkable electrocardiogram and initially normal troponin levels, the patient experienced ventricular fibrillation, prompting further evaluation. The patient’s clinical course was complicated by recurrent cardiac arrests. Subsequent imaging revealed AAD, which was not initially recognized, emphasizing the importance of maintaining a broad differential diagnosis and the critical need for prompt recognition and management of AAD. This case underscores the necessity of considering AAD in patients with atypical presentations and the pivotal role of advanced imaging techniques in facilitating timely diagnosis and appropriate intervention.https://journals.lww.com/10.4103/heartviews.heartviews_44_24aortic dissectioncardiac arrestintra-aortic balloon pumpmyocardial infarction |
| spellingShingle | Khalid Sawalha Angel Lopez-Candales Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation Heart Views aortic dissection cardiac arrest intra-aortic balloon pump myocardial infarction |
| title | Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation |
| title_full | Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation |
| title_fullStr | Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation |
| title_full_unstemmed | Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation |
| title_short | Concealed Truths Always Hide behind the Shadows of the Not So Obvious: Deadly Chest Pain Presentation |
| title_sort | concealed truths always hide behind the shadows of the not so obvious deadly chest pain presentation |
| topic | aortic dissection cardiac arrest intra-aortic balloon pump myocardial infarction |
| url | https://journals.lww.com/10.4103/heartviews.heartviews_44_24 |
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