Document Detail


Spontaneous Coronary Artery Dissection in a Young Woman without Risk Factors.
MedLine Citation:
PMID:  22469472     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous coronary artery dissection is a very rare event and is more common in women than in men. Pregnancy and the early puerperium stage have been recognized as predisposing factors for this condition. CASE REPORT: A 33-year-old woman presented to the Emergency Department (ED) with chest pain; the patient's electrocardiogram (ECG) showed an ST-segment elevation similar to that observed in ST-segment elevation myocardial infarction (STEMI). She experienced a ventricular fibrillation cardiac arrest when she was in the hospital and received resuscitation, after which she regained consciousness and showed spontaneous circulation. She underwent cardiac catheterization under the impression of spontaneous coronary artery dissection, and conservative therapy was chosen. CONCLUSION: In this report, we have underlined the importance of considering coronary artery dissection in the differential diagnosis of young women who present to the ED with chest pain, an ECG with ST-segment elevation, and very few cardiac risk factors.
Authors:
Carlo Arrigo; Massimo Bochicchio; Sabina Pezzotti; Massimo Amato; Luisa Carminati; Giuliano Crocco; Alessandra Mora; Carlo Mosca; Giuliano Chizzola
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-31
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  -     ISSN:  0736-4679     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-4-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Montichiari Hospital Emergency Department, "Spedali Civili," Montichiari, Brescia, Italy.
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