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Acute Aortic Dissection

Bramoweth Ellen
AJN The American Journal of Nursing: November 1980

Tom Gregory always considered himself relatively healthy despite the fact that he had been diagnosed as having hypertension and told that he had had a heart attack a few years ago. He hadn't spent time in the hospital, so how bad could it have been, he thought.

When I first met him, however, that had changed. He knew that something was terribly wrong; he felt sicker than he ever had in his life.

My first contact with Mr. Gregory was on the night of his admission to the hospital. He had awakened at home, short of breath and with severe chest pain that radiated to his back. He had become nauseated and vomited.

At admission, his blood pressure was 202/110 and his pulse was 98 and regular. He was diaphoretic and felt clammy, and his femoral pulses were unequal. The diagnosis was uncertain: myocardial infarction or aortic dissection. He was given morphine sulphate for pain and was transferred to the ICU.

© Lippincott-Raven Publishers.