[Spontaneous coronary artery dissection as a rare cause of an acute coronary syndrome]. / Spontane Koronararterien-Dissektion: seltene Ursache eines akuten Koronarsyndromes.
Z Kardiol
; 91(11): 951-5, 2002 Nov.
Article
in De
| MEDLINE
| ID: mdl-12442199
ABSTRACT
Spontaneous coronary artery dissection is a rare cause of an acute coronary syndrome. This report describes a previously healthy woman without cardiovascular risk factors who presented with an acute anterior non-ST elevation myocardial infarction. Coronary angiography revealed an isolated longitudinal dissection in the middle part of the left anterior descending coronary artery (LAD) with normal flow of the contrast media. The patient was treated conservatively with heparin, aspirin, clopidogrel, and beta-receptor blocker. Stress exercise test was normal at discharge. After an event-free follow-up of three and a half months coronary angiography showed a completely normal LAD. Literature about epidemiology, pathogenesis, diagnosis and treatment of spontaneous coronary artery dissection is reviewed.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Coronary Aneurysm
/
Aortic Dissection
/
Myocardial Infarction
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
Language:
De
Journal:
Z Kardiol
Year:
2002
Document type:
Article
Affiliation country:
Suiza