The Presentation of Spontaneous Coronary Artery Dissection in the Emergency Department: Signs and Symptoms in an Unsuspecting Population

2021 ◽  
Author(s):  
Alexis K. Johnson ◽  
Marysia S. Tweet ◽  
Samuel G. Rouleau ◽  
Annie T. Sadosty ◽  
Sharonne N. Hayes ◽  
...  
Keyword(s):  
Emergency Department ◽  
Coronary Artery ◽  
Signs And Symptoms ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection

scholarly journals An Unusual Presentation of Postpartum Spontaneous Coronary Artery Dissection

2019 ◽  
Vol 3 (3) ◽  
pp. 228-232
Author(s):  
Jonathan Alterie ◽  
Francis Villanueva ◽  
Mohamed Arekat ◽  
April Brill
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Coronary Artery ◽  
Cardiac Biomarkers ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Chest Discomfort ◽  
Coronary Artery Dissection ◽  
Life Threatening ◽  
Multiparous Female

The postpartum population is one with a unique physiologic profile that predisposes these patients to rare and often life-threatening conditions. Herein, we discuss a case of a 37-year-old, multiparous female who presented to the emergency department with vague chest discomfort 14 days after delivering her sixth child via vaginal delivery. The patient was found to have elevated cardiac biomarkers and was ultimately diagnosed with pregnancy-related spontaneous coronary artery dissection (P-SCAD). This case report discusses the evaluation, pathophysiology, workup, and management of P-SCAD.

Emergency Department Presentation of Patients with Spontaneous Coronary Artery Dissection

2017 ◽  
Vol 52 (3) ◽  
pp. 286-291 ◽  
Author(s):  
Rachel A. Lindor ◽  
Marysia S. Tweet ◽  
Kiran A. Goyal ◽  
Christine M. Lohse ◽  
Rajiv Gulati ◽  
...  
Keyword(s):  
Emergency Department ◽  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Emergency Department Presentation ◽  
Coronary Artery Dissection

scholarly journals Cycling Induced Spontaneous Coronary Artery Dissection in a Healthy Male

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Farrukh Nadeem Jafri ◽  
David Solarz ◽  
Craig Hjemdahl-Monsen
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Physical Exertion ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Healthy Male ◽  
Coronary Artery Dissection

Introduction. Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndrome with a spectrum of disease that can include unstable angina, acute myocardial infarction, or sudden cardiac death. It has also been found in case reports to be caused by shear stress from physical exertion. We present a rare cycling induced SCAD that occurred in our institution in an otherwise healthy male with no cardiac risk factors. Case Presentation. A 36-year-old male presented to the emergency department with complaints of lightheadedness and diaphoresis after a bicycle fall. In the emergency department, he complained of feeling lightheaded and diaphoretic and having mid back pain. Patient had an ECG performed which showed lateral ST segment elevation and troponin I that was positive. A coronary angiography was subsequently performed demonstrating a spontaneous coronary artery dissection of left anterior descending coronary artery. Conclusion. SCAD is a rare cause of myocardial infarction, occurring in healthy individuals, which is rarely reported in the literature. Nearly 70% are diagnosed in postmortem studies after sudden cardiac death. Only 12 cases have been reported from activities involving physical exertion and no studies to our knowledge demonstrate this.

scholarly journals An Unusual Presentation of Spontaneous Coronary Artery Dissection

2017 ◽  
Vol 9 ◽  
Author(s):  
Amelia Aaronson
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Post Partum ◽  
Signs And Symptoms ◽  
Left Ventricular ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Ventricular Failure ◽  
Coronary Artery Dissection ◽  
Retrospective Diagnosis

A twenty-six year old female presented with signs and symptoms of congestive cardiac failure. She was five months post-partum, and had suffered from HELLP syndrome during her pregnancy. Investigations revealed biventricular thrombi with severe left ventricular failure and a coronary artery infarct; a retrospective diagnosis was made of SCAD. She was treated pharmacologically with heart failure medications and anticoagulation

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