RESUMO
Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in whom aortic dissection was accompanied by fever, nightsweats, suprasternal pain and atrial fibrillation.
Assuntos
Aneurisma Aórtico/diagnóstico , Dissecção Aórtica/diagnóstico , Fibrilação Atrial/etiologia , Febre/etiologia , Idoso , Dissecção Aórtica/complicações , Aorta/patologia , Aneurisma Aórtico/complicações , Dor no Peito/etiologia , Eletrocardiografia , Feminino , Humanos , Hiperidrose/etiologia , Hipertensão/complicações , Derrame Pericárdico/etiologiaRESUMO
Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in whom aortic dissection was accompanied by fever, nightsweats, suprasternal pain and atrial fibrillation.
La disección aórtica es una emergencia cardiovascular. La principal manifestación clínica es el dolor torácico severo y agudo. Se acompaña de presión arterial sistémica hasta en 50% de los pacientes en el momento de su presentación. Otras formas inusuales han sido reportadas en la literatura médica como disfagia, movimiento pulsátil en la unión esterno-clavicular y dolor testicular. La ausencia de dolor torácico disminuye la probabilidad de la disección aórtica. Se describe el caso de una paciente en quien la disección aórtica se presentó con fiebre, sudoración profunda, dolor supraesternal y fibrilación auricular.
