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Abstract

Open Journal of Cardiology & Heart Diseases

A Case Report of Coarctation of Aorta Presenting as ST Elevation in Anterior Chest Leads of ECG with Severe Left Sided Neck Pain

  • Open or Close Hammad S1*, Salahuddin M2 and Altaf A2

    1 Postgraduate Resident FCPS-II Cardiology Department, Pakistan

    2 FRCP Associate Professor and Consultant Cardiology Department, Pakistan

    *Corresponding author: Hammad S, Postgraduate Resident FCPS-II Cardiology Department, Pakistan

Submission: March 18, 2019; Published: March 26, 2019

DOI: 10.31031/OJCHD.2019.02.000550

ISSN: 2578-0204
Volume2 Issue5

Abstract

Coarctation of aorta is characterized by narrowing of the aortic lumen. Complex lesion are complicated by associated cardiac anomalies and picked in infancy while simple coarctations are not diagnosed until adulthood when it manifests as secondary hypertension or its complications. We are reporting a case of severe coarctation of aorta which presented as ST elevation on anterior chest leads with severe sudden onset left sided neck pain mimicking anterior wall myocardial infarction and patient was thrombolysed due to dynamic ECG changes and new onset severe left sided neck pain. Clinicians and cardiologists worldwide should be aware of such occurrence to prevent unnecessary thrombolysis in patients not fullfiling other criteria of myocardial infarction. Bedside echo assessment and highly sensitive cardiac troponin and inflammatory markers (hs-CRP) could help in correctly aiding to diagnosis and preventing such occurrences from happening which can complicate into life threating hemorrhage.

Abbreviations: DHQ: Head Quater Hospital; STEMI: ST Elevation Myocardial Infarction; DHQ: District Head Quater Hospital; BLIs: Base Line Investigations; RAS: Renin Angiotensis System

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