Aortic Dissection with Subsequent Hemorrhagic Tamponade Diagnosed with Point-of-care Ultrasound in a Patient Presenting with STEMI
نام عام مواد
[Article]
نام نخستين پديدآور
Abrams, Eric; Allen, Angela; Lahham, Shadi
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
A 58-year-old male with no past medical history presented to the emergency department with sudden onset left lower extremity weakness and central chest pain with radiation to his back. Electrocardiogram revealed an acute inferior and posterior ST-segment elevation myocardial infarction(STEMI). Point-of-care ultrasound (POCUS) demonstrated right ventricular akinesis consistent with infarction, and an intimal defect consistent with an aortic dissection. We determined that cardiothoracic surgery was indicated rather than left-heart catheterization and anticoagulation. Using POCUS we were able to immediately diagnose a dissection of the aortic arch and considerably alter treatment in a patient presenting with STEMI.
مجموعه
تاريخ نشر
2019
عنوان
Clinical Practice and Cases in Emergency Medicine
شماره جلد
3/2
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )