Aortic dissection presenting as inferior ST elevation myocardial infarction and Importance of early echocardiography

We describe a case of 70 years old female patient in whom an initial diagnosis acute coronary syndrome (ACS) revealed to be finally aortic dissection. This report emphasizes the importance maintain high grade suspicion dissection as possible alternative presence electrocardiographic myocardial ischemic changes. In many medical centers where thrombolytic therapy, antiplatelet receptor blockers, heparin or percutaneous angioplasty is first line therapy for ACS outcome may catastrophic situation such