Spontaneous Coronary Artery Dissection as Cause of Sudden Cardiac Death in a Young Woman With Oral Contraceptive Use

2006 ◽  
Vol 14 (4) ◽  
pp. 331-331 ◽  
Author(s):  
Pietro Muretto
2021 ◽  
Vol 22 ◽  
Author(s):  
Serigne Cheikh Tidiane Ndao ◽  
Amer Zabalawi ◽  
Mame Madjiguène Ka ◽  
Khadidiatou Dia ◽  
Waly N. Mboup ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Alexander L. Pan ◽  
David Fergusson ◽  
Robert Hong ◽  
Ramy A. Badawi

Spontaneous coronary artery dissection is a rare condition, usually presenting as an acute coronary syndrome, and is often seen in states associated with high systemic estrogen levels such as pregnancy or oral contraceptive use. While topical hormonal replacement therapy may result in increased estrogen levels similar to those documented with oral contraceptive use, there are no reported cases of spontaneous coronary dissection with topical hormonal replacement therapy. We describe a 53-year-old female who developed two spontaneous coronary dissections while on topical hormonal replacement therapy. The patient had no other risk factors for coronary dissection. After withdrawal from topical hormonal therapy, our patient has done well and has not had recurrent coronary artery dissections over a one-year follow-up period. The potential contributory role of topical hormonal therapy as a cause of spontaneous coronary dissection should be recognized.


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