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2016, Number 2

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Rev Cub Med Int Emerg 2016; 15 (2)

Acute aortic dissection as a cause of intense thoracic pain

Roque CJJ, Díaz AHR, Véliz SMI, Hernández NY

Language: Spanish
References: 9
Page: 11-15
PDF size: 571.94 Kb.


ABSTRACT

The aortic dissection is not a very frequent affection but of high mortality. It happens when a spontaneous intimae tear develops and blood dissects into the media of the aorta as a consequence of maintained high blood pressure. It is a hypertensive emergency with cardiovascular damage. The basic therapy of election is the immediate treatment of the arterial hypertension and the surgical repair of the vascular damage. A 48 year-old hypertensive male patient without therapeutic adherence is presented. He was referred for intense thoracic pain and high blood pressure, the diagnosis of acute aortic dissection was carried out; an immediate antihypertensive treatment and analgesia with opiate was imposed. The ulterior evolution was favorable. We do emphasis about the diagnosis of this affection and its differential diagnosis in all patients with thoracic pain and high blood pressure.


REFERENCES

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