Document Detail

Spontaneous coronary artery dissection.
MedLine Citation:
PMID:  18360339     Owner:  NLM     Status:  MEDLINE    
A 45-year-old female athlete with no history of cardiovascular disease or coronary risk factors presented with a non-ST-segment elevation myocardial infarction due to spontaneous right coronary artery dissection. She was treated medically with resolution of her symptoms. Repeat angiography due to recurrent exertional chest discomfort showed TIMI-3 flow and no evidence of dissection. Intravascular ultrasound documented discrete areas of resolving hematoma, but no dissection flap or impingement of the lumen >30%. A coronary computed tomography 6 months later revealed absence of any vascular abnormalities. This rare but potentially lethal condition should be considered in the differential diagnosis of young patients with chest pain, myocardial infarction, or sudden cardiac death, especially if it involves women either in the peripartum period or those using oral contraceptives, or patients without evidence of coronary atherosclerosis or traditional cardiovascular risk factors.
Gustavo A Cardenas; Cindy L Grines; Mark Sheldon; James A Goldstein
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  101     ISSN:  1541-8243     ISO Abbreviation:  South. Med. J.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-09     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  442-6     Citation Subset:  AIM; IM    
Division of Cardiology, William Beaumont Hospital, Royal Oak, MI 48073, USA.
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MeSH Terms
Aneurysm, Dissecting / complications*,  drug therapy,  radiography
Coronary Aneurysm / complications*,  drug therapy,  radiography
Coronary Angiography
Middle Aged
Myocardial Infarction / drug therapy,  etiology,  radiography
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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