A case of IM subacute cum AO disection and AV block 3
A case report is dealing with multiple comorbidities
in an acute condition.The pacient has a subacute
miocardial infarkt,as well as a dissection of the aorta
and a complete Av blok.
At 58 years of age he presents with general
weanness and headace.He was admitted in the
emergency centar,however without cheast pain at the
moment.16 our earlier the pacient had chest
pain.From past diseases he had hypertension,insulin
dependent diabetes,HBI,dissection of the aorta –type
Stanford B –diagnosed in 2008 .After consultation
with a team of cardio-surgery ,the pacient is not
accepted for an operetional procedure of the aorta.
In the hospital the pacient had TA-130 /90mm/
Hg ,heart rate of 30/min.Clinicely he was stable
without sings for heart feilure.Troponin was
positive ,glucose 17,4,urea 10,6 and creatinin 290.
On EKG there is a visible dissociation of the atriums
and ventricules there fore a complete AV Block.
CT angiography was done where it was seen that the
chronic dissection has widened wit a tear on both
