Is coronary dissection painful ?
Yes , every vascular dissection is painful, just like Aortic dissection.
No. most often it is not . Pain depends upon the plane of dissection .It is painful only if it hits the advential vasa- nervorum.
Pain is related to the timing. Acute ones are painful, while chronics are not.
I am not sure, because dissection (flow-limiting) induced Ischemic pain often co-exists, making it difficult to differentiate from the flap triggered pain,
No. I am absolutely confident ,most dissections are painless ( I have dissected it with balloon umpteen number of times in cath lab .Don't recall any significant discomfort to the patient)
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