Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!

BACKGROUND: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women. CASE PRESENTATION: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territo...

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Autores principales: Al Emam, Abdel R., Akkad, Haysam, Asawaeer, Majid, Pompili, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Science Publishers 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762161/
https://www.ncbi.nlm.nih.gov/pubmed/31092182
http://dx.doi.org/10.2174/1573403X15666190513101614
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author Al Emam, Abdel R.
Akkad, Haysam
Asawaeer, Majid
Pompili, Vincent
author_facet Al Emam, Abdel R.
Akkad, Haysam
Asawaeer, Majid
Pompili, Vincent
author_sort Al Emam, Abdel R.
collection PubMed
description BACKGROUND: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women. CASE PRESENTATION: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome. CONCLUSION: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD.
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spelling pubmed-87621612022-07-20 Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough! Al Emam, Abdel R. Akkad, Haysam Asawaeer, Majid Pompili, Vincent Curr Cardiol Rev Article BACKGROUND: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome in women. CASE PRESENTATION: We present a 40-year-old female who presented with recurrent STEMI due to recurrent SCAD 10 days after the index presentation in a different coronary territory. She was successfully treated both times with drug eluting stents. MRI showed an evidence of transmural infarction but her ejection fraction was only mildly reduced. She had good short term outcome. CONCLUSION: High index of suspicion is crucial for early diagnosis and prompt medical and interventional management in patients with SCAD. Bentham Science Publishers 2021-07-20 2021-07-20 /pmc/articles/PMC8762161/ /pubmed/31092182 http://dx.doi.org/10.2174/1573403X15666190513101614 Text en © 2021 Bentham Science Publishers https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Al Emam, Abdel R.
Akkad, Haysam
Asawaeer, Majid
Pompili, Vincent
Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!
title Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!
title_full Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!
title_fullStr Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!
title_full_unstemmed Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!
title_short Recurrent Spontaneous Coronary Artery Dissection Presenting with STEMI, Once is Never Enough!
title_sort recurrent spontaneous coronary artery dissection presenting with stemi, once is never enough!
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762161/
https://www.ncbi.nlm.nih.gov/pubmed/31092182
http://dx.doi.org/10.2174/1573403X15666190513101614
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