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无痛型主动脉夹层 A 型。

Painless type A aortic dissection.

机构信息

Internal Medicine, Jackson Memorial Hospital, Miami, Florida, USA

Cardiology, Jackson Memorial Hospital, Miami, Florida, USA.

出版信息

BMJ Case Rep. 2020 May 5;13(5):e234831. doi: 10.1136/bcr-2020-234831.

Abstract

Aortic dissection is an uncommon diagnosis that typically presents with acute onset of severe pain. It rarely presents with minimal to no symptoms, which carries a higher mortality risk given the delay in diagnosis. An adequate interpretation of risk factors, clinical findings and auxiliary tests constitutes a greater value for clinicians to detect this life-threatening condition. This report describes a case of type A aortic dissection in an asymptomatic patient presenting with an abnormal electrocardiogram (ECG).

摘要

主动脉夹层是一种不常见的诊断,通常表现为急性剧烈疼痛。它很少表现出轻微或无症状,由于诊断延迟,死亡率更高。充分解读危险因素、临床发现和辅助检查对临床医生发现这种危及生命的疾病具有更大的价值。本报告描述了一例无症状患者的 A 型主动脉夹层,该患者表现为异常心电图(ECG)。

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