Spontaneous Coronary Artery Dissection: A Case Series and Review of the Literature

被引：0

作者：

Iqbal, Shaikh B. ^{[1
,2
]}

Bene-Alhasan, Yakubu ^{[1
]}

Rao, Shiavax J.

机构：

[1] MedStar Hlth Internal Med Residency Program, Baltimore, MD USA

[2] MedStar Union Mem Hosp, Dept Med, 201 E Univ Pkwy, Baltimore, MD 21218 USA

来源：

JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES | 2024年 / 14卷 / 04期

关键词：

Spontaneous coronary artery disease; SCAD; Coronary artery dissection; Pregnancy associated coronary artery dissection; Intracoronary hematoma; ACUTE MYOCARDIAL-INFARCTION; ASSOCIATION; PREVALENCE; MANAGEMENT;

D O I：

10.55729/2000-9666.1355

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although previously considered rare, spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction in young women. We present three unique cases of SCAD: A 46 -year -old woman with a history of trigeminal neuralgia and anxiety presenting elevated troponin-I and chest pain. A 36 -year -old woman with recent miscarriage presenting with diffuse T wave inversions and elevated troponin-I. A 58 -year -old man with a recent COVID-19 infection presenting with diffuse ST elevations. SCAD is associated with many risk factors. Conservative management is preferred due to spontaneous healing of vessels compared to PCI-driven management of atherosclerotic acute coronary syndrome.

引用

页数：8

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