PDF(Pubmed)
Abstract：
A 34-year-old uncontrolled hypertensive male presented with chest pain radiating to the back. Despite severe pain, he was persistently bradycardic at 38 beats per minute. The workup at the emergency department confirmed the presence of an acute Stanford B aortic dissection. Stanford B dissections are not usually associated with bradycardia. It is Stanford A dissections that are mostly linked with bradycardia because Stanford A dissections can cause concomitant coronary artery extension and involvement of the atrioventricular node. This case demonstrates that sinus bradycardia can exist in the acute setting of any painful aortic dissection, even though it might not necessarily involve the coronary arteries.
摘要：
一名34岁的不受控制的高血压男性出现胸痛向背部放射。尽管剧烈疼痛,他以每分钟38次的速度持续心动过缓。急诊科的检查证实了急性StanfordB主动脉夹层的存在。StanfordB夹层通常与心动过缓无关。主要与心动过缓有关的是斯坦福A夹层，因为斯坦福A夹层可引起伴随的冠状动脉延伸和房室结受累。该病例表明窦性心动过缓可以存在于任何疼痛性主动脉夹层的急性环境中。即使它不一定涉及冠状动脉。
