"Left Main" Pattern Electrocardiogram: A Diagnostic Trap for Cardiologists
Grace Hoi Ting Kwok1, Kevin Ong2, Wai Kin Chi3
1Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong SAR, China; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Acute aortic dissection can mimic left main coronary artery occlusion on ECG, leading to misdiagnosis. This case highlights the importance of considering aortic dissection in patients with chest pain and specific ECG findings, even when coronary occlusion is suspected.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- Acute Stanford type A aortic dissection presents a diagnostic challenge, potentially mimicking left main coronary artery occlusion on electrocardiography (ECG).
- Effective management strategies for aortic dissection differ significantly from those for coronary artery occlusion.
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