Role of Contrast Enhanced CT in the Emergency Department
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Case report:
We report a case of a 52 years old man, previously fit and well, who presented to the emergency department with central chest pain radiating to the back and of grade 10 out of 10 severity. Glyceryl Trinitrate (GTN) spray helped relief the symptoms initially, but pain returned back shortly after. In the emergency department, the patient had 12-lead ECG (Fig. ?11), blood tests including cardiac biomarkers like troponin. His ECG showed nonspecific changes of ST-depression and T-wave inversion in the inferior leads. The high-sensitivity Troponin was raised at 1403 ng/l. As a result of the on-going atypical chest pain and non-specific 12-lead ECG changes, a diagnosis of aortic dissection was considered and patient has had an urgent non-ECG-gated contrast enhanced CT of the chest....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054506/
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