scholarly journals A Case of Spontaneous Coronary Artery Dissection in a Patient with Severe Anorexia Nervosa

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Jessica O’Neil ◽  
Soumyaa Mazumder ◽  
Danita Yoerger Sanborn ◽  
Samantha Wu

There are a variety of cardiac complications of anorexia nervosa including arrythmias, valvopathies, and myopathies. Spontaneous coronary artery dissection (SCAD) has not been widely reported among this patient population. This case report describes a middle-aged female with severe anorexia nervosa, who presented after being found unconscious, and was later diagnosed with SCAD. A literature review revealed one previous case of SCAD in a patient with anorexia nervosa and prompted a discussion of a series of possible predisposing factors for SCAD in this patient population. Patients with anorexia nervosa may be at increased risk for SCAD due to their complex nutritional and endocrine imbalances. This case highlights a possible underdiagnosed cardiac complication of anorexia nervosa.


Cureus ◽  
2021 ◽  
Author(s):  
Esiemoghie J Akhigbe ◽  
Ebubechukwu Ezeh ◽  
Kanaan Mansoor ◽  
Jason Mader ◽  
Paul I Okhumale ◽  
...  




2017 ◽  
Vol 11 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Farshad Tahmasebi ◽  
Alice Hurrell ◽  
Amie Ford ◽  
Manish Gupta ◽  
Damien Geindreau ◽  
...  

Spontaneous coronary artery dissection is a rare but important cause of acute coronary syndrome. Its relevance for women during the puerperium mandates awareness and understanding amongst obstetric healthcare professionals. The aetiology of the increased risk in pregnancy has not been fully elucidated, but include medial eosinophilic angitis, pregnancy-induced degeneration of collagen in conjunction with the stresses of parturition, and rupture of the vasa vasorum. The risk of mortality necessitates prompt diagnosis, usually by angiography. There is no one-size-fits-all treatment; management must be individualised according to haemodynamic status and affected vessel(s) and includes conservative management, percutaneous coronary intervention, or bypass grafting. Recovery complications include extension of the haematoma or false lumen, valvular pathology secondary to ischaemia, and sudden cardiac death. Close post-operative surveillance is mandatory. We present a 41-year-old lady with post-partum spontaneous coronary artery dissection, complicated by ischaemic papillary rupture and mitral regurgitation requiring valve replacement. Additionally, we present a literature review, including guidance on management and critical analysis of potential complications.



2015 ◽  
Vol 60 (3) ◽  
pp. 801-806 ◽  
Author(s):  
Cristian D'Ovidio ◽  
Sara Sablone ◽  
Aldo Carnevale


Cureus ◽  
2020 ◽  
Author(s):  
Ramy Abdelmaseih ◽  
Mustajab Hasan ◽  
Jay Patel ◽  
Alauddin Elhag ◽  
Jigar Patel


2014 ◽  
Vol 5 (1) ◽  
pp. 1-4
Author(s):  
Naik Sunil ◽  
Tisdale Nicholas ◽  
Rehman Nadir ◽  
David Shukri ◽  
Naik Sunil ◽  
...  


Cureus ◽  
2021 ◽  
Author(s):  
Nouraldeen Manasrah ◽  
Ali F Al Sbihi ◽  
Kendall Bell ◽  
Luis C Afonso ◽  
Nimrod Blank


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