Please use this identifier to cite or link to this item: https://cris.library.msu.ac.zw//handle/11408/6676
Title: When Palpitations and Hand Weakness Point to the Aorta: An Atypical Case of Aortic Dissection
Authors: Admire Hlupeni
Andrew Nunno
Manirul Tamal
Jeffrey Murray
Internal Medicine Residency Department, St. Luke's Hospital, Chesterfield, Missouri; Faculty of Medicine, Midlands State University, Senga, Gweru, Zimbabwe
Internal Medicine Residency Department, St. Luke's Hospital, Chesterfield, Missouri
Internal Medicine Residency Department, St. Luke's Hospital, Chesterfield, Missouri
Internal Medicine Residency Department, St. Luke's Hospital, Chesterfield, Missouri
Keywords: Aortic dissection
Hypertension
Cardiac ablation
Issue Date: 2025
Publisher: American College of Physicians
Abstract: Aortic dissection (AD) is a life-threatening condition often presenting with varied symptoms, complicating early diagnosis. We present a case of a 58-year-old woman with untreated hypertension and a remote history of cardiac ablation who presented with persistent palpitations and transient left-hand weakness, but without chest or back pain. An incidental AD was identified during imaging for a suspected transient ischemic attack. Effective blood pressure management and prompt cardiothoracic intervention, with successful surgical repair, enabled favorable outcomes. This case underscores the diagnostic challenges posed by atypical AD presentations, highlighting the importance of maintaining high index of suspicion in at-risk population.
URI: https://cris.library.msu.ac.zw//handle/11408/6676
Appears in Collections:Research Papers

Show full item record

Page view(s)

22
checked on Aug 9, 2025

Google ScholarTM

Check

Altmetric


Items in MSUIR are protected by copyright, with all rights reserved, unless otherwise indicated.