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Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery

Heart attacks in young populations are frequently misdiagnosed as reflux disease or anxiety. Spontaneous coronary artery dissection (SCAD) is a coronary artery disease that classically manifests around the age of 45 years and has a fatal outcome if missed. Since it was first described in 1931, our u...

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Autores principales: Suresh, Avanti, Parhar, Amardeep S, Singh, Kerry S, Al-bayati, Asseel, Apolito, Renato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779171/
https://www.ncbi.nlm.nih.gov/pubmed/33409046
http://dx.doi.org/10.7759/cureus.11801
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author Suresh, Avanti
Parhar, Amardeep S
Singh, Kerry S
Al-bayati, Asseel
Apolito, Renato
author_facet Suresh, Avanti
Parhar, Amardeep S
Singh, Kerry S
Al-bayati, Asseel
Apolito, Renato
author_sort Suresh, Avanti
collection PubMed
description Heart attacks in young populations are frequently misdiagnosed as reflux disease or anxiety. Spontaneous coronary artery dissection (SCAD) is a coronary artery disease that classically manifests around the age of 45 years and has a fatal outcome if missed. Since it was first described in 1931, our understanding of SCAD has evolved tremendously, particularly with the advent of advanced coronary angiography. Electrocardiograms can show abnormality in the ST-segment, with an elevation of cardiac damage markers. The involvement of the coronary arteries is variable. The left main coronary artery is frequently reported as the main culprit. We are hereby reporting a case of SCAD in a young woman who presented with a heart attack. Particularly, her age is younger than the reported cases, cardiac catheterization revealed a left main artery dissection with a thrombolytic extension, and her complicated case was managed with coronary artery bypass and heart transplantation.
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spelling pubmed-77791712021-01-05 Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery Suresh, Avanti Parhar, Amardeep S Singh, Kerry S Al-bayati, Asseel Apolito, Renato Cureus Cardiology Heart attacks in young populations are frequently misdiagnosed as reflux disease or anxiety. Spontaneous coronary artery dissection (SCAD) is a coronary artery disease that classically manifests around the age of 45 years and has a fatal outcome if missed. Since it was first described in 1931, our understanding of SCAD has evolved tremendously, particularly with the advent of advanced coronary angiography. Electrocardiograms can show abnormality in the ST-segment, with an elevation of cardiac damage markers. The involvement of the coronary arteries is variable. The left main coronary artery is frequently reported as the main culprit. We are hereby reporting a case of SCAD in a young woman who presented with a heart attack. Particularly, her age is younger than the reported cases, cardiac catheterization revealed a left main artery dissection with a thrombolytic extension, and her complicated case was managed with coronary artery bypass and heart transplantation. Cureus 2020-11-30 /pmc/articles/PMC7779171/ /pubmed/33409046 http://dx.doi.org/10.7759/cureus.11801 Text en Copyright © 2020, Suresh et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Suresh, Avanti
Parhar, Amardeep S
Singh, Kerry S
Al-bayati, Asseel
Apolito, Renato
Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery
title Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery
title_full Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery
title_fullStr Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery
title_full_unstemmed Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery
title_short Spontaneous Coronary Artery Dissection of the Left Main Coronary Artery
title_sort spontaneous coronary artery dissection of the left main coronary artery
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779171/
https://www.ncbi.nlm.nih.gov/pubmed/33409046
http://dx.doi.org/10.7759/cureus.11801
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