open access

Vol 12, Supp. B (2017)
Praca na konkurs pt. "Terapia skojarzona"
Published online: 2018-03-04
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Acute aortic dissection in a patient with long-standing untreated hypertension and metabolic syndrome

Małgorzata Woźniak, Elżbieta Piechocka, Joanna Latek-Książek, Mariusz Furmanek, Robert Gil, Aneta Gziut
DOI: 10.5603/FC.2017.0047

open access

Vol 12, Supp. B (2017)
Praca na konkurs pt. "Terapia skojarzona"
Published online: 2018-03-04

Abstract

Acute aortic dissection (AOD) is one of the possible complications of untreated hypertension. Its symptoms (severe
popping chest pain radiating to the back) are often confused with acute coronary syndrome. The basis of diagnosis is
a computed tomography of the aorta. Patients with AOD requires emergency vascular surgery. One of the conditions for
the success and good prognosis is to reduce blood pressure. The paper presents a case of a patient with long-standing
untreated hypertension, in whom there was a dissection of the descending aorta and its branches, and consequently
the deterioration of renal function. After initial difficulties in determining the optimal pharmacotherapy reduction of
blood pressure was achieved and widening gates delamination is not observed.

Abstract

Acute aortic dissection (AOD) is one of the possible complications of untreated hypertension. Its symptoms (severe
popping chest pain radiating to the back) are often confused with acute coronary syndrome. The basis of diagnosis is
a computed tomography of the aorta. Patients with AOD requires emergency vascular surgery. One of the conditions for
the success and good prognosis is to reduce blood pressure. The paper presents a case of a patient with long-standing
untreated hypertension, in whom there was a dissection of the descending aorta and its branches, and consequently
the deterioration of renal function. After initial difficulties in determining the optimal pharmacotherapy reduction of
blood pressure was achieved and widening gates delamination is not observed.

Get Citation

Keywords

hypertension, dyslipidemia, acute aortic dissection

About this article
Title

Acute aortic dissection in a patient with long-standing untreated hypertension and metabolic syndrome

Journal

Folia Cardiologica

Issue

Vol 12, Supp. B (2017)

Pages

30-33

Published online

2018-03-04

DOI

10.5603/FC.2017.0047

Keywords

hypertension
dyslipidemia
acute aortic dissection

Authors

Małgorzata Woźniak
Elżbieta Piechocka
Joanna Latek-Książek
Mariusz Furmanek
Robert Gil
Aneta Gziut

References (3)
  1. Erbel R, Aboyans V, Boileau C, et al. [2014 ESC Guidelines on the diagnosis and treatment of aortic diseases]. Kardiola Pol. 2014; 72(12): 1169–1252.
  2. Interna Szczeklika. Podręcznik chorób wewnętrznych. Medycyna Praktyczna, Kraków 2015/2016: 819.
  3. Tykarski A, Narkiewicz K, Gaciong Z, et al. Zasady postępowania w nadciśnieniu tętni-czym — 2015. Nadciśnienie Tętnicze w Praktyce. 2015; 1(1): 1–70.

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