Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2009-12-7
pubmed:abstractText
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and sudden death. Various therapeutics strategies have been proposed, from conservative management to surgical or percutaneous revascularization. Standard therapy has not been yet established. We report a case of a 34-year-old athlete, presenting chest pain after intense physical activity. Once the clinical and laboratory findings were typical of an acute coronary syndrome, the patient underwent cardiac catheterization, which showed right coronary artery dissection. Initially, conservative management was established, but, after 72 hours of no pain relief, a percutaneous stent implantation procedure was implemented resulting in a complete angiographic and clinical response. This case and review of literature emphasize that although SCAD is a very rare entity, it must be kept in mind in the differential diagnosis of acute, sharp chest pain in young physically active individuals, with no apparent risk factor for coronary artery disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1557-2501
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
E245-7
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
Spontaneous coronary artery dissection - a diagnosis to be considered in young patients presenting with acute myocardial infarction.
pubmed:affiliation
Emergency Department, Hospital de Messejana, Fortaleza, Brazil. rafaelnmacedo@yahoo.com.br
pubmed:publicationType
Journal Article, Case Reports