Letter to the Editor

Aortic Dissection Presenting with New Onset Atrial Fibrillation: A Very Unusual Presentation

Authors: Abhijeet Dhoble, MD, MPH, Dwarakraj Soundarraj, MD, Ralph Watson, MD, FACP


To the Editor:

Acute aortic dissection (AAD) is a cardiovascular emergency, and is usually fatal unless treated promptly. Presenting symptoms are generally chest or back pain, and elevated blood pressure (BP). Other common presentations are syncope, murmur of aortic regurgitation, and pulse deficit. Common electrocardiographic changes, if any, are due to cardiac ischemia.1 The presenting clinical features of AAD are diverse, and severe complications occur very rapidly.

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