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July 19, 2008 4:45 am
Thousands of dissections happen in cath labs all over the world every day very rarely it is painful . The answer is not clear. Both have rich vasa nervorum. Aortic dissection involves media and smooth muscle . Coronary dissection may also be a equally painful , probably we are not recognising it ! or we attribute all chest pain in ACS to ischemia .
Deep dissections into the smooth muscle should be painful. Type c nerve fibers carry pain signals from heart
Answers welcome.
Posted by dr s venkatesan
Categories: Cardiology -Interventional -PCI
Tags: acs, aorta, cardiology, cath lab, chest pain, coronary, dissection, drsvenkatesan, heart, madras medical college, nstemi, pci, stemi
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