Suggestion to list acute aortic dissection as a possible cause of type 2 myocardial infarction (according to the universal definition).
作者： K. P. Goran
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摘要: The most feared cause of acute myocardial infarction (AMI) has been aortic dissection (AD), because the antithrombotic and thrombolytic treatments double hemorrhagic complications mortality. Cannesson et al. 1 found 25 patients with AMI induced by AD, erroneously treated fibrinolysis. There have more recent reports on this probably underreported problem mortality 69–100%. There is a long-standing debate about imaging testing for AD in ACS. Argument pro to omit dangerous antithrombotics thrombolytics or high doses (if primary PCI prepared) AD. contra not loose time needed …
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