Jehangir Waqas, Aly Tarek, Bedran Kebir H, Yousif Abdalla, Niemiera Mark L
Raritan Bay Medical Center, Perth Amboy, NJ 08861, USA.
Ross University School of Medicine, Portsmouth, Dominica.
Case Rep Cardiol. 2015;2015:167243. doi: 10.1155/2015/167243. Epub 2015 Apr 6.
When approaching the symptom of acute onset chest pain in a previously healthy 26-year-old male, anchoring heuristic presents a challenge to healthcare workers. This diagnostic error is the healthcare professional's tendency to rely on a previous diagnosis, and, in situations where a set of symptoms might mask a rare and deadly condition, this error can prove fatal for the patient. One such condition, Spontaneous Coronary Artery Dissection (SCAD), is an uncommon and malefic presentation of coronary artery disease that can lead to myocardial infarction and sudden death. We present a case of SCAD in an otherwise healthy 26 year-old male who had been experiencing chest pain during and after sports activity. In the young, athletic male with SCAD, the danger of diagnostic error was a reality due to the broad symptomatology and the betraying demographics.
对于一名此前健康的26岁男性出现急性胸痛症状的情况，锚定启发法给医护人员带来了挑战。这种诊断错误是指医疗专业人员倾向于依赖先前的诊断，而在一组症状可能掩盖罕见且致命疾病的情况下，这种错误可能对患者来说是致命的。一种这样的病症，自发性冠状动脉夹层（SCAD），是冠状动脉疾病的一种不常见且有害的表现形式，可导致心肌梗死和猝死。我们报告一例SCAD病例，患者是一名原本健康的26岁男性，在运动期间及运动后出现胸痛。在患有SCAD的年轻、运动型男性中，由于症状广泛且人口统计学特征具有误导性，诊断错误的风险是切实存在的。
