Aortic dissection presenting as a febrile disease and atrial fibrillation
Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in whom aortic dissection was accompanied by fever, nightsweats, suprasternal pain and atrial fibrillation.
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Main Authors: | , , |
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Format: | Digital revista |
Language: | English |
Published: |
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
2007
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Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0034-83762007000100011 |
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Summary: | Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in whom aortic dissection was accompanied by fever, nightsweats, suprasternal pain and atrial fibrillation. |
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