{"id":10498,"date":"2013-08-30T15:11:26","date_gmt":"2013-08-30T15:11:26","guid":{"rendered":"http:\/\/cardiophile.org\/?p=9066"},"modified":"2023-04-16T20:02:55","modified_gmt":"2023-04-16T14:32:55","slug":"clues-to-aortic-dissection-along-with-myocardial-infarction-2","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\/","title":{"rendered":"Clues to the presence of aortic dissection along with myocardial infarction"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/WfAmE9LBimY\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Clues to the presence of aortic dissection along with myocardial infarction<\/span><\/h2>\n<p>Right coronary artery is more likely to be involved in aortic dissection than left coronary artery. Associated dissection would be a contraindication for thrombolytic therapy and can cause difficulty during attempted percutaneous coronary intervention. Hence it may be wise to look for aortic dissection in all cases of inferior wall myocardial infarction.<\/p>\n<p>Careful assessment of peripheral pulses may pick up an asymmetry suggesting dissection, especially in a patient with chest pain radiating to back.&nbsp;A focussed echocardiography may be able to pick up the dissection flap in the proximal aorta.&nbsp;CT aortogram can eminently document dissection.&nbsp;Yet it needs high clinical suspicion to detect dissection and document it in a case presenting to the emergency department.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Right coronary artery is more likely to be involved in aortic dissection than left. Hence it is better to look for aortic dissection in all cases of IWMI.<\/p>\n","protected":false},"author":1,"featured_media":59184,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-10498","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Clues to the presence of aortic dissection along with myocardial infarction - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"description\" content=\"Right coronary artery is more likely to be involved in aortic dissection than left. Hence it is better to look for aortic dissection in all cases of IWMI.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clues to the presence of aortic dissection along with myocardial infarction - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"Right coronary artery is more likely to be involved in aortic dissection than left. Hence it is better to look for aortic dissection in all cases of IWMI.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2013-08-30T15:11:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-16T14:32:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2013\/08\/Clues-to-aortic-dissection-along-with-myocardial-infarction.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"891\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Clues to the presence of aortic dissection along with myocardial infarction\",\"datePublished\":\"2013-08-30T15:11:26+00:00\",\"dateModified\":\"2023-04-16T14:32:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/\"},\"wordCount\":141,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2013\\\/08\\\/Clues-to-aortic-dissection-along-with-myocardial-infarction.jpg\",\"articleSection\":[\"General Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/\",\"name\":\"Clues to the presence of aortic dissection along with myocardial infarction - All About Cardiovascular System and Disorders\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/clues-to-aortic-dissection-along-with-myocardial-infarction-2\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2013\\\/08\\\/Clues-to-aortic-dissection-along-with-myocardial-infarction.jpg\",\"datePublished\":\"2013-08-30T15:11:26+00:00\",\"dateModified\":\"2023-04-16T14:32:55+00:00\",\"description\":\"Right coronary artery is more likely to be involved in aortic dissection than left. 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