Aortic dissection mimicking ST segment elevation myocardial infarction

Jason Wagner, Christopher Sampson, Brian Bausano

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Scenario overview A 42-year-old man arrives by personal transport from restaurant after sudden onset of chest pain. EKG shows ST segment elevation myocardial infarction (STEMI) but patient has aortic dissection. CXR shows mediastinal widening. The team will need to diagnose aortic dissection and appropriately treat. Confrontation is created when the patient's neighbor who is a cardiologist arrives and demands lytics due to the cath lab being closed for floor waxing. The patient's spouse sides with cardiologist forcing the team to skillfully explain their reasoning. Teaching objectives/discussion points Clinical and medical management.

Original languageEnglish
Title of host publicationSimwars Simulation Case Book
Subtitle of host publicationEmergency Medicine
PublisherCambridge University Press
Number of pages4
ISBN (Electronic)9781107111011
ISBN (Print)9781107625280
StatePublished - Jan 1 2015


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