Get Virtual Care
For Businesses
About Us
A member asked:
When heart attack is suspected is it permissible to give blood thinners before ruling out aortic dissection?
6 doctors weighed in across 2 answers
Yes: Heart attacks occur much more often than aortic dissections. I would not blame anybody for trying to protect or treat for a heart attack with anticoagulants at least aspirin. In order to rule out dissection you need an angiogram or ct scan which is time comsumming. If fibrinolytics are considered (tpa (alteplase) or similar) i would probably wait to see the ct scan first. Dissect. Gives asymm. Bps, back pain.
Answered 12/20/2012
6k views
No: If the diagnosis is clearly a heart attack, then thrombolytic therapy or angioplasty/ stenting is the standard therapy. If an aortic dissection is a possibility, it is imperative to rule this in or out before administering thrombolytics.
Answered 1/1/2013
5.4k views
Related Questions
A member asked:
Can an echocardiogram tell a doctor if someone is at risk for an aortic dissection? Such as an enlarged heart or enlargement of aorta?
4 doctors weighed in across 2 answers
A member asked:
Need help docs! my aorta arch on my heart pumps blood on the right side, and not the left side?
A doctor has provided 1 answer
A member asked:
In 2017 I was diagnosed with carotid dissection, bilaterally - an incidental finding. Chose not to be treated. Now back at Stanford for heart issue and they ordered a US Carotid Doppler Bilateral. Dr. on sabbatical, could use help reading the results?
3 doctors weighed in across 2 answers
A member asked:
What blood tests are used to rule out an aortic dissection?
A doctor has provided 1 answer
A member asked:
I'm on blood thinners and i'm having a operation on my right roto cuff , will that increase my chances of having another heart attack ?
A doctor has provided 1 answer
People also searched for:
With significant cardiac family history (bypass, heart attack, aortic dissection x3) what tests should I request for myself; some symptoms of concern?
My father has had a heart attack, blood clot, and is waiting to have a aortic dissection surgery. Can a heart rate of 130 temporarily be bad?
Woke w hot swt and sev pain, naus. Like being ripped from r chest. Pain r shldr/back. Er said not heart. Aortic dissection? Still pain not as severe.
Leaky heart valve regurgitation or aortic dissection, what to do?
How will high elevated heart enzymes effect an aortic dissection? My daddy has an decending aortic dissection that is 5.4cm and very very very close to his spine, so close they are trying extremely hard every way they can not to have to do surgery. He has
Didn't find what you're looking for?
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your questionMore of what we treat
Download HealthTap
Video visit and message your doctor
