PubMed · 6940545
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W J Boerema, K G Burnand, R I Fitzpatrick. 1981. Acute appendicitis.. https://doi.org/10.1111/j.1445-2197.1981.tb05931.x
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In conclusion, acute electrocardiographic changes were not uncommon in patients with acute aortic dissection. It was suggested that acute electrocardiographic changes in aortic dissection resulted from at least 1 of the following 3 mechanisms: (1) involvement of the ostium of the coronary artery; (2) shock state, especially tamponade; and (3) preexisting coronary artery disease. We believe that physicians should be aware of the possibility of acute aortic dissection not only in patients with chest pain with a normal electrocardiogram, but also in those with electrocardiographic changes.
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