Heart Views (Jan 2012)

Spontaneous coronary artery dissection: Case report and review of literature

  • Monodeep Biswas,
  • Arjinder Sethi,
  • Stephen J Voyce

DOI
https://doi.org/10.4103/1995-705x.105737
Journal volume & issue
Vol. 13, no. 4
pp. 149 – 154

Abstract

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Spontaneous coronary artery dissection (SCAD) is an unusual cause of acute coronary syndrome or sudden cardiac death. SCAD has most frequently been described as presenting as an acute coronary syndrome in females during the peripartum period. It may also be associated with autoimmune and collagen vascular diseases, Marfan′s syndrome, chest trauma, and intense physical exercise. The most common presentation of SCAD is the acute onset of severe chest pain associated with autonomic symptoms. This condition has a high mortality rate if not identified and treated promptly. Here, we present a case of SCAD presenting with stroke, followed by a brief review.

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