The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Case reports : Proximal aortic dissection with STEMI-equivalent ECG findings

STEMI equivalent 심전도 소견을 동반한 근위부 대동맥박리 1예

  • Kim, Ji-Won (Department of Emergency Medicine, College of Medicine, Dankook University) ;
  • Kang, Min Seong (Department of Preventive Medicine, College of Medicine, Hanyang University)
  • 김지원 (단국대학교 의과대학 응급의학교실) ;
  • 강민성 (한양대학교 의과대학 예방의학교실)
  • Received : 2020.10.05
  • Accepted : 2020.12.18
  • Published : 2020.12.31
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Abstract

The most common symptom of aortic dissection is chest pain, which is similar to acute coronary artery syndrome, making it difficult to diagnose with clinical pattern, requiring various diagnostic methods. About 10-15% of the aortic dissection patients are accompanied by changes in the ST segment by the dissecting flap of the coronary opening, which can lead to delayed diagnosis of aortic dissection, or can adversely affect the patient by administration to unnecessary drugs such as nitroglycerin, thrombolytic agent, and anticoagulants. It is difficult to distinguish aortic dissection from an acute myocardial infarction only through a 12-Lead electrocardiogram at the pre-hospital. The application of cardiac ultrasonography through medical direction to chest pain patients who show ST segmental changes in pre-hospital phase will contribute to the diagnosis of aortic dissection and the improvement of survival rate, such as anticoagulant administration, to patients with acute myocardial infarction.

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References

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