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Cardiovascular disease (CVD) continues to be the primary cause of mortality and morbidity globally with middle-aged women presenting with additional and possibly, overlooked risk factors.1 Despite several awareness programmes, there remain several gaps in the political education and representation needs of this group, which includes those from low socioeconomic status (SES) and culturally diverse backgrounds. These […]

Pseudo-dissection of ascending aorta in inferior myocardial infarction

Muhammad Nadeem Attar, Hossam Elmahy, Grahame K. Goode
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Published Online: Aug 3rd 2018 Heart International 2011;6(1):e1 DOI: https://doi.org/10.4081/hi.2011.e1
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Abstract

Overview

Acute aortic dissection is a cardiac emergency
which can present as inferior myocardial
infarction. It has high morbidity and mortality
requiring prompt diagnosis and treatment.
Rapid advances in non-invasive imaging
have facilitated the early diagnosis of this
condition and in ruling out this potentially catastrophic
illness. We report an interesting
case of a 57-year old man who presented with
inferior myocardial infarction requiring
thrombolysis and temporary pacing wire for
complete heart block. An echocardiogram was
highly suspicious of aortic dissection. CT scan
confirmed that the malposition of the temporary
pacing wire through the aorta mimicked
aortic dissection.

Keywords

Dissection, aorta, temporary pacing wire, artefact.

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Article Information

Correspondence

Muhammad Nadeem Attar, 28, St Francis Close, Preston PR2 9WJ, Lancs, UK. Tel. +44.7981.925 483. E-mail: nadattar@hotmail.com

Received

2011-05-08T00:00:00

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