Document Detail

Persistent spontaneous dissection of the left anterior descending coronary artery after emotional pressure.
MedLine Citation:
PMID:  20676782     Owner:  NLM     Status:  MEDLINE    
A 51-year-old woman without cardiovascular risk factors experienced severe chest pain, accompanied by ST-segment elevation in lead II, III, AVF, and V4-V6. An immediately started thrombolytic therapy in a peripheral hospital successfully eliminated the cardiac symptoms and achieved complete ST-segment resolution. Subsequent cardiac angiography revealed a longitudinal spontaneous dissection in the distal part of the left anterior descending artery. Due to the small vessel size we decided on conservative therapeutic procedure with acetyl salicylamide, clopidogrel, statin, and beta blocker. Three months later, control angiography presented no resolution of the dissection and the patient showed excellent performance on stress test with no signs of ischemia.
Agnes Mayr; Gert Klug; Werner Jaschke; Otmar Pachinger; Bernhard Metzler
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-02
Journal Detail:
Title:  Wiener klinische Wochenschrift     Volume:  122     ISSN:  1613-7671     ISO Abbreviation:  Wien. Klin. Wochenschr.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-09-08     Completed Date:  2011-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  21620870R     Medline TA:  Wien Klin Wochenschr     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  515-7     Citation Subset:  IM    
Clinical Department of Radiology I, Medical University Innsbruck, Innsbruck, Austria.
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MeSH Terms
Affective Symptoms / complications*,  diagnosis*
Aneurysm, Dissecting / diagnosis*,  etiology*
Chronic Disease
Coronary Aneurysm / diagnosis*,  etiology*
Middle Aged
Stress, Psychological / complications*,  diagnosis*

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