Emergency Medicine Cases - ECG Cases 34 - By Jesse McLaren
Peer Reviewed and edited by Anton Helman - August 2022
Take home points for ECG in aortic dissection
- The ECG in aortic dissection can range from normal, to chronic LVH, to acute ST/T changes
- ECGs diagnostic of acute coronary occlusion are unlikely to be secondary to aortic dissection, and CT scans to rule out aortic dissection lead to reperfusion delays
- Non-diagnostic ECGs require other tests (including POCUS) guided by pre-test probability