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- Title
Case Report of an Acute Myocardial Infarction as a Result of Spontaneous Coronary Artery Dissection in a Patient with Fibromuscular Dysplasia.
- Authors
Kalinskaya, A.; Skrypnik, D.; Kostin, A.; Vasilieva, E.; Shpektor, A.
- Abstract
Background. Spontaneous coronary artery dissection (SCAD) is an underdiagnosed and rare cause of myocardial infarction (MI). SCAD is defined as the separation of the coronary artery wall by hemorrhage with or without intimal tear. It causes acute coronary syndrome in 1.7% to 4% of cases. Case Summary. We report a case of a patient with acute MI caused by SCAD with marked progression of dissection within 4 days and spontaneous healing in 2 months. Fibromuscular dysplasia (FMD) of the arteries is an associated condition of SCAD that was found in our patient. Conclusion. In young women admitted to the clinic with signs of acute myocardial infarction, SCAD should be suspected. FMD as an associated condition that should be ruled out in every SCAD patient. Conservative treatment of SCAD is the most preferable strategy.
- Subjects
CORONARY arteries; MYOCARDIAL infarction; DYSPLASIA; ACUTE coronary syndrome; DISEASE complications; SPONTANEOUS coronary artery dissection
- Publication
Case Reports in Cardiology, 2019, p1
- ISSN
2090-6404
- Publication type
Academic Journal
- DOI
10.1155/2019/3051616