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Tuesday, August 16, 2022

ECG in Aortic Dissection

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