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Spontaneous coronary artery dissection: to treat or not to treat-2 atypical cases and a review of the literature.
MedLine Citation:
PMID:  20634682     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Spontaneous coronary dissection is an unusual cause of acute coronary syndrome and sudden death, with a predilection for otherwise healthy young women. Presentation during the peri-partum period accounts for a quarter of the cases. We describe 2 cases of spontaneous coronary dissection with some atypical features. Both patients differed in their demographics, clinical presentations, and management strategies. Posited pathogenetic mechanisms for spontaneous coronary dissection are varied and remain poorly understood. Optimal management strategies depend on the vessels involved and the presence of ongoing symptoms. Patients who survive to presentation typically have a good prognosis.
Authors:
Farzan Irani; William R Colyer; Jodi Tinkel
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of therapeutics     Volume:  19     ISSN:  1536-3686     ISO Abbreviation:  Am J Ther     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9441347     Medline TA:  Am J Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e62-5     Citation Subset:  IM    
Affiliation:
1Department of Internal Medicine, St. Vincent Mercy Medical Center, Toledo, OH; 2Department of Cardiovascular Medicine; and 3Department of Cardiovascular Medicine, University of Toledo Medical Center, Toledo, OH.
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