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A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman

Due to limited understanding and knowledge of spontaneous coronary artery dissection (SCAD), it is typically believed to affect young peripartum women. We present a case of a post-menopausal older woman who suffered an acute non-ST segment elevation myocardial infarction (NSTEMI), secondary to a SCA...

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Autores principales: Phogat, Vishal, Nepal, Subash, Kozman, Hani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239583/
https://www.ncbi.nlm.nih.gov/pubmed/35774718
http://dx.doi.org/10.7759/cureus.25459
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author Phogat, Vishal
Nepal, Subash
Kozman, Hani
author_facet Phogat, Vishal
Nepal, Subash
Kozman, Hani
author_sort Phogat, Vishal
collection PubMed
description Due to limited understanding and knowledge of spontaneous coronary artery dissection (SCAD), it is typically believed to affect young peripartum women. We present a case of a post-menopausal older woman who suffered an acute non-ST segment elevation myocardial infarction (NSTEMI), secondary to a SCAD of the right posterior descending artery (PDA), after strenuous exercise. As the patient was hemodynamically stable and without signs of ongoing ischemia, she was managed conservatively. SCAD should be in differentials for patients presenting with acute coronary syndrome (ACS) who have no or few cardiovascular atherosclerotic risk factors. SCAD can be missed due to low suspicion of ACS in young and healthy patients. ACS from SCAD is often misdiagnosed and/or mismanaged as atherosclerotic ACS. Increasing awareness about this condition can lead to earlier diagnosis and prevention of sudden cardiac deaths. As most cases of SCAD can be managed conservatively, differentiating it from atherosclerotic ACS can reduce unnecessary reperfusion procedures and complications thereof.
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spelling pubmed-92395832022-06-29 A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman Phogat, Vishal Nepal, Subash Kozman, Hani Cureus Cardiac/Thoracic/Vascular Surgery Due to limited understanding and knowledge of spontaneous coronary artery dissection (SCAD), it is typically believed to affect young peripartum women. We present a case of a post-menopausal older woman who suffered an acute non-ST segment elevation myocardial infarction (NSTEMI), secondary to a SCAD of the right posterior descending artery (PDA), after strenuous exercise. As the patient was hemodynamically stable and without signs of ongoing ischemia, she was managed conservatively. SCAD should be in differentials for patients presenting with acute coronary syndrome (ACS) who have no or few cardiovascular atherosclerotic risk factors. SCAD can be missed due to low suspicion of ACS in young and healthy patients. ACS from SCAD is often misdiagnosed and/or mismanaged as atherosclerotic ACS. Increasing awareness about this condition can lead to earlier diagnosis and prevention of sudden cardiac deaths. As most cases of SCAD can be managed conservatively, differentiating it from atherosclerotic ACS can reduce unnecessary reperfusion procedures and complications thereof. Cureus 2022-05-29 /pmc/articles/PMC9239583/ /pubmed/35774718 http://dx.doi.org/10.7759/cureus.25459 Text en Copyright © 2022, Phogat et al. https://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 Cardiac/Thoracic/Vascular Surgery
Phogat, Vishal
Nepal, Subash
Kozman, Hani
A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman
title A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman
title_full A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman
title_fullStr A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman
title_full_unstemmed A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman
title_short A Non-atherosclerotic Heart Tears Apart: A Case of Spontaneous Coronary Artery Dissection in a Healthy Postmenopausal Woman
title_sort non-atherosclerotic heart tears apart: a case of spontaneous coronary artery dissection in a healthy postmenopausal woman
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239583/
https://www.ncbi.nlm.nih.gov/pubmed/35774718
http://dx.doi.org/10.7759/cureus.25459
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