scholarly journals Acute Coronary Syndrome Secondary to Acute Aortic Dissection – Underlying Mechanisms and Possible Therapeutic Options

10.5772/28407 ◽  
2012 ◽  
Author(s):  
Kazuhito Hirata ◽  
Tomoya Hiratsuji ◽  
Minoru Wake ◽  
Hidemitsu Mototake
Keyword(s):  
Acute Coronary Syndrome ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Therapeutic Options ◽  
Coronary Syndrome ◽  
Underlying Mechanisms

scholarly journals Modified Cabrol shunt in surgery for Type A acute aortic dissection

2016 ◽  
Vol 20 (2) ◽  
pp. 117 ◽  
Author(s):  
S. Yu. Boldyrev ◽  
V. I. Kaleda ◽  
A. M. Trishina ◽  
Z. E. Tekueva ◽  
E. S. Dumanyan ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Surgical Team ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Additional Control ◽  
Incorrect Diagnosis

<p>Bleeding after surgery for acute aortic dissection in patients who receive antithrombotic therapy for incorrect diagnosis of acute coronary syndrome is a serious challenge for the surgical team. In this setting, additional control of bleeding may be achieved by using a modified Cabrol shunt. In this report we present our experience in acute Type A aortic dissection surgery.</p>

scholarly journals Pericardial Effusion in a Patient with Non-ST-Elevation Myocardial Infarction: Beware of a Hidden Malefactor

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mamatha Punjee Raja Rao ◽  
Prashanth Panduranga ◽  
Mahmood Al-Jufaili
Keyword(s):  
Myocardial Infarction ◽  
Pericardial Effusion ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
St Elevation Myocardial Infarction ◽  
Elderly Hypertensive Patient ◽  
Coronary Syndrome ◽  
Elderly Hypertensive ◽  
St Elevation ◽  
Suspected Diagnosis

Pericarditis with pericardial effusion in acute coronary syndrome is seen in patients with ST-elevation myocardial infarction specifically when infarction is anterior, extensive, and Q wave. It is very uncommon to have pericardial effusion in a patient with non-ST-elevation myocardial infarction. We present an elderly hypertensive patient who was diagnosed as non-ST-elevation myocardial infarction with pericardial effusion that turned out to be acute aortic dissection with catastrophic end. We conclude that, in patients with suspected diagnosis of non-ST-elevation myocardial infarction or unstable angina, if pericardial effusion is detected on echocardiography, aortic dissection needs to be considered.

scholarly journals The Evolving Phenotypes of Cardiovascular Disease during COVID-19 Pandemic

2021 ◽  
Author(s):  
Michele Correale ◽  
Francesca Croella ◽  
Alessandra Leopizzi ◽  
Pietro Mazzeo ◽  
Lucia Tricarico ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiovascular Disease ◽  
Acute Coronary Syndrome ◽  
New World ◽  
Therapeutic Options ◽  
Atrial Arrhythmias ◽  
Heart Failure Patients ◽  
Coronary Syndrome ◽  
Cardiovascular Patients

AbstractCOVID-19 pandemic has negatively impacted the management of patients with acute and chronic cardiovascular disease: acute coronary syndrome patients were often not timely reperfused, heart failure patients not adequately followed up and titrated, atrial arrhythmias not efficaciously treated and became chronic. New phenotypes of cardiovascular patients were more and more frequent during COVID-19 pandemic and are expected to be even more frequent in the next future in the new world shaped by the pandemic. We therefore aimed to briefly summarize the main changes in the phenotype of cardiovascular patients in the COVID-19 era, focusing on new clinical challenges and possible therapeutic options.

Aortic dissection under the mask of acute coronary syndrome: clinical observations

2019 ◽  
pp. 13-18
Author(s):  
I. V. Kositsyna ◽  
A. V. Snitsar ◽  
A. V. Golubev ◽  
M. V. Patlachuk ◽  
S. I. Varfolomeev
Keyword(s):  
Acute Coronary Syndrome ◽  
Aortic Dissection ◽  
Coronary Syndrome ◽  
Clinical Observations

Acute coronary syndrome in a patient with Marfan syndrome following emergent surgical repair of aortic dissection

2008 ◽  
Vol 9 (6) ◽  
pp. 615-621 ◽  
Author(s):  
Francesca Elisa Bovolato ◽  
Giambattista Isabella ◽  
Debora Rampazzo ◽  
Cosimo Guglielmi ◽  
Gino Gerosa ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Surgical Repair ◽  
Coronary Syndrome

Spontaneous coronary dissection as a cause of acute coronary syndrome: Evidence for non-inflammatory underlying mechanisms

2007 ◽  
Vol 114 (1) ◽  
pp. E24-E26 ◽  
Author(s):  
Manolis Vavuranakis ◽  
George Latsios ◽  
Dimitris Tousoulis ◽  
Sophia Vaina ◽  
Georgia Triantafyllou ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Syndrome ◽  
Underlying Mechanisms

Chest pain

2015 ◽  
Author(s):  
Hugo Farne ◽  
Edward Norris-Cervetto ◽  
James Warbrick-Smith
Keyword(s):  
Acute Coronary Syndrome ◽  
Oral Contraceptive ◽  
Chest Pain ◽  
Aortic Dissection ◽  
Older People ◽  
Oral Contraceptive Pill ◽  
Contraceptive Pill ◽  
Coronary Syndrome ◽  
Combined Oral Contraceptive ◽  
History Of

A good way to come up with a list of causes is to visualize the anatomy of the affected area and think of what could go wrong. Thus, in chest pain, there may be pathology of the heart, aorta, lungs, pulmonary vessels, oesophagus, stomach, thoracic nerves, thoracic muscles, or ribs. The main causes of acute chest pain in an individual aged over 60 include are listed in Figure 9.1. A younger patient is less likely to be suffering from diseases of old age, such as: • Acute coronary syndrome • Stable angina • Myopericarditis (usually post-infarction) • Thoracic aortic dissection • Thoracic aortic aneurysm A younger female patient on the combined oral contraceptive pill is more likely to be suffering from: • PE (the combined oral contraceptive pill is thrombogenic) • Pneumothorax (especially if tall and thin) • Cocaine-induced coronary spasm (still rare, but particularly unusual in older people). The following diagnoses require immediate management and should be kept in mind: • Acute coronary syndrome (unstable angina, or myocardial infarction (MI)) • Aortic dissection • Pneumothorax • PE • Boerhaave’s perforation The key features of each are listed below. 1 Features of acute coronary syndrome ■ History of sudden-onset, central, crushing chest pain radiating to either/both arms, neck or jaw, usually lasting a few minutes to half an hour (longer if there is ongoing infarction). Have a higher index of suspicion in those with a previous history of angina on exertion or MI and/or cardiovascular risk factors (smoking, hypertension, hypercholesterolaemia, diabetes mellitus, family history). ■ Signs of hypercholesterolaemia: cholesterol deposits in small skin lumps on the back of the hand or bony prominences like elbows (xanthomata), in creamy spots around the eyelids (xanthelasma), or a creamy ring around the cornea (arcus). Note that arcus is a normal finding in older people. ■ Signs of peripheral (atherosclerotic) vascular disease: weak pulses, peripheral cyanosis, cool peripheries, atrophic skin, ulcers, bruits on auscultation of carotids. ■ Signs of brady- or tachyarrhythmia. An arrhythmia is relevant for two reasons.

Sign in / Sign up

Export Citation Format

Share Document