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dc.contributor.authorYennu Nandan, Abhivrath
dc.contributor.authorMukundu Nagesh, Navin
dc.contributor.authorGandhi, Manish
dc.identifier.citationYennu Nandan A, Singh A, Mukundu Nagesh N, Gandhi MM. Suspected ST segment elevation myocardial infarction referred for primary angioplasty: a masquerader. BMJ Case Rep. 2019 Jan 14;12(1). piien_US
dc.description.abstractA 50-year-old man collapsed at the roadside with retrosternal pain, shortness of breath and generalised weakness. An ECG in the emergency department was reported as demonstrating ST segment elevation of up to 1.5 mm in leads V1 to V3, leading to a diagnosis of an acute ST-elevation myocardial infarction. He was immediately transferred to the cardiac catheterisation laboratory. Introduction of a coronary catheter produced signs that raised suspicion of aortic dissection. An aortogram revealed a grossly dilated aortic root of 7.3 cm with a type A ascending aortic dissection. The patient was urgently transferred to the cardiothoracic surgical centre and underwent emergency aortic root and ascending aorta replacement. Following a 20-day hospital admission, and postoperative atrial fibrillation, the patient made a steady and full recovery.en_US
dc.rightsArchived with thanks to BMJ Case Reportsen_US
dc.subjectWessex Classification Subject Headings::Cardiologyen_US
dc.titleSuspected ST segment elevation myocardial infarction referred for primary angioplasty: a masqueraderen_US
dc.typeCase Reporten_US
dc.identifier.journalBMJ Case Reportsen_US
dc.description.admin-noteAccepted manuscript - immediateen_US

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