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A patient presenting with acute heart failure: A dilemma of diagnosis
A patient presenting with acute heart failure: A dilemma of diagnosis
- Source :
- Northern Clinics of Istanbul
- Publication Year :
- 2016
- Publisher :
- Kare Publishing, 2016.
-
Abstract
- Acute dyspnea is a major complaint of patients admitted to cardiology and emergency departments (ED). Acute dyspnea can be life-threatening, and is seen in cases of asthma, pulmonary embolism, acute heart failure and myocardial infarction. The present case is that of a 32-year-old man admitted to the ED with orthopnea position and agitation. Physical examination, electrocardiogram (ECG), transthoracic echocardiogram (TTE), contrast-enhanced computed tomography (CECT) of thorax and coronary angiography (CAG) helped to rule out chest disease pathologies such as pneuomo-thorax, pulmonary embolism and coronary artery disease, but were not enough to make an appropriate diagnosis in this case. Because of high pretest probability of aortic dissection, transesophageal echocardiography (TEE) was performed and a diagnosis of Stanford type A dissection closing left main coronary artery (LMCA) ostia from beat to beat was made.
- Subjects :
- Thorax
Orthopnea
medicine.medical_specialty
Case Report
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Internal medicine
Medicine
030212 general & internal medicine
Myocardial infarction
misdiagnosis
type A aortic dissection
Aortic dissection
business.industry
transesophageal echocardiography
medicine.disease
Pulmonary embolism
CT angiography
Heart failure
Cardiology
cardiovascular system
medicine.symptom
Transthoracic echocardiogram
business
General Economics, Econometrics and Finance
Subjects
Details
- Language :
- English
- ISSN :
- 25364553
- Volume :
- 3
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Northern Clinics of Istanbul
- Accession number :
- edsair.doi.dedup.....627a0bf916fc7126161065742ab7aa10