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2013, vol. 13, iss. 1, pp. 21-27
Aortic dissection: Asymptomatic and non-specific case are traps for EMS doctors: Case study
Dom zdravlja 'Dr Đorđe Lazić', Služba hitne medicinske pomoći, Sombor
Keywords: aortic dissection; non-specific symptoms and signs; ECG changes
INTRODUCTION: Aortic dissection is also called “disastrous aortic disease” because if not treated the mortality rate is about 33% in in the first 24 hours, 50% within the first 48 hours and 75% within two weeks at the undiagnosed, unrecognized, and untreated aortic dissection. It is 13th cause of death in people over 65 years, the men come down two to five times more often than women. Aortic dissection is more common in winter months than in the warm days, and more common in the morning between 6 and 12 h. The characteristic symptom of the disease is sudden chest pain which is described in 80-96% of cases. Unfortunately, a certain percentage of cases is asymptomatic, powerless. There are no specific signs for this disease of the aorta, but when they are present they are already signs of complications. CASE REPORT: This case report will present 48-year-old female patient, with slight chest pressure in the absence of previous diseases and risk factors for aortic dissection. The patient was normotensive, with the same values of tension in the extremities. The only thing that aroused suspicion was variable ECG findings, and that was the main reason for transporting to the Internal department of the General Hospital in Sombor. Ehocardiografical examination showed intimal flap from aortic root to the left subclavian. CT scan confirmed aortical dissection type I by De Bakey, and the patient was transferred to the Institute of Cardiac Surgery in Sremska Kamenica for definitive care. DISCUSSION: Comparative review of this case with significant features of the disease (symptoms, signs, time of day, time of year, sex, etc.), with specific reference of asymptomatic cases and nonspecific aortic dissection.
Braverman, A.C. (2010) Acute Aortic Dissection. Circulation, 122(2): 184-188
Erbel, R. (2001) Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology. European Heart Journal, 22(18): 1642-1681


article language: Serbian
document type: Original Paper
published in SCIndeks: 08/01/2018

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