• Clin Med · Oct 2013

    Case Reports

    A catastrophic cause of chest pain.

    • Azeem S Sheikh, Amer Qureshi, and Azhar A Khokhar.
    • Department of Cardiology, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK.
    • Clin Med. 2013 Oct 1; 13 (5): 516519516-9.

    AbstractChest pain can be a manifestation of aortic pathology and must be considered in any patient with a history of chest trauma, hypertension, atherosclerosis, connective tissue disorder and/or radiographically abnormal aortic contours. Acute intramural haematoma can resemble acute myocardial infarction and can be life-threatening if not correctly diagnosed. Electrocardiogram (ECG) must be carried out in all patients as it helps distinguish acute myocardial infarction (for which antiplatelets and anticoagulants may be life-saving) from intramural haematoma (for which these drugs may be detrimental). Other imaging modalities may be considered depending upon the clinical situation.

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