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Letter Case Reports
Aortic dissection presenting as a febrile disease and atrial fibrillation.
- Jorge Blas-Macedo, Dolores Marquez-Ramírez, and José de Jesús Gómez-Dominguez.
- Rev Invest Clin. 2007 Jan 1; 59 (1): 878987-9.
AbstractAortic 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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