When a patient aged <40 presents with symptoms of aortic dissection(AD), in the absence
of known risk factors [
1
,
2
,
3
], acquired risk factors, such as weight lifting, use of anabolic steroids, and pregnancy
should be investigated. In the case of weight lifting, hemodynamic changes raise aortic
wall stress to a level that “begets aortic dissection” [
[4]
]. In a review of six male weight lifters, aged 18–37, who experienced AD, two had
a history of hypertension and anabolic drug use; two others were normotensive but
took anabolic drugs. Only two were both normotensive and without a history of anabolic
drug use [
- Singh B.
- Treece J.M.
- Murtaza G.
- Bhatheja S.
- Lavine S.J.
- Paul T.K.
Aortic dissection in a healthy male athlete: a unique case with comprehensive literature
review.
Case Rep Cardiol. 2016; (Article ID 6460386)https://doi.org/10.1155/2016/6460386
[4]
]. It is also worth remembering that, even in a patient aged <40, AD can present with
acute breathlessness with [
- Singh B.
- Treece J.M.
- Murtaza G.
- Bhatheja S.
- Lavine S.J.
- Paul T.K.
Aortic dissection in a healthy male athlete: a unique case with comprehensive literature
review.
Case Rep Cardiol. 2016; (Article ID 6460386)https://doi.org/10.1155/2016/6460386
[5]
] or without chest tightness [
[6]
], but in the absence of back pain.To read this article in full you will need to make a payment
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References
- Aortic dissection in a 19 year old male without risk factors, case report and selective review of the literature.Am J Emerg Med. 2019; ([Article in Press])
- Acute aortic dissection in a young patient without Marfan fibrillinopathy: a case report.Cases J. 2009; 2: 7076
- The characteristics of acute aortic dissection among young Chinese patients: a comparison between Marfan syndrome and non-Marfan syndrome patients.Yonsei Med J. 2009; 50: 239-244
- Aortic dissection in a healthy male athlete: a unique case with comprehensive literature review.Case Rep Cardiol. 2016; (Article ID 6460386)https://doi.org/10.1155/2016/6460386
- Aortic dissection presenting with acute pulmonary edema.Am J Emerg Med. 2018; 36: 1323e7-1323e9
- A patient presenting with acute heart failure: a dilemna of diagnosis.North Clin Instanbul. 2016; 3: 64-66
- Characterizing the young patient with aortic dissection: results from the international registry of aortic dissection(IRAD).JACC. 2004; 43: 665-669
- Acute aortic dissection in third trimester pregnancy without risk factors.West J Emerg Med. 2011; 12: 571-574
- Aortic dissection in the third trimester pregnancy without risk factors.Taiwan J Obstet Gynecol. 2019; 58: 723-724
- Postpartum dissection: a case report and review of literature.Int J Surg Case Rep. 2019; 56: 101-106
- Pregnancy and the risk of aortic dissection or rupture: a cohort-crossover analysis.Circulation. 2016; 134: 527-533
- Pulmonary thrombo-embolism in pregnancy: diagnosis and management.Breathe. 2015; 11: 282-289
- Dyspnea in pregnancy.Taiwan J Obstet Gynecol. 2017; 56: 432-436
- Postpartum aortic dissection.Taiwan J Obstet Gynecol. 2013; 52: 318-322
- Guzman T Marfan syndrome associated with aortic dissection, venous thromboembolism and hyperhomocysteinemia.Medicina (B Aires) 102. 2012; 72: 478-480
Article Info
Publication History
Published online: January 11, 2020
Accepted:
January 10,
2020
Received in revised form:
January 10,
2020
Received:
December 13,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
