Extensive aortic dissection presenting as acute inferior myocardial infarction

摘要

A 62-year-old hypertensive man presented with central chest pain of sudden onset associated with shortness of breath. He denied back pain, but complained of bilateral hip pain. An ECG showed inferior ST elevation with lateral ST depression (panel A); thrombolysis was not administered by the ambulance crew owing to hypotension of 79/43 mm Hg, he was given fluid resuscitation.