Revista de investigación clínica
Print version ISSN 0034-8376
BLAS-MACEDO, Jorge; MARQUEZ-RAMIREZ, Dolores and GOMEZ-DOMINGUEZ, José de Jesús. Aortic dissection presenting as a febrile disease and atrial fibrillation. Rev. invest. clín. [online]. 2007, vol.59, n.1, pp. 87-89. ISSN 0034-8376.
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.
Keywords : Aortic dissection; Emergency; Nightsweats; Fever; Atrial fibrillation.