Spontaneous coronary artery dissection and myopericarditis

Philip Pazderka; Curt Hemphill

doi:10.1016/j.ajem.2023.12.038

Spontaneous coronary artery dissection and myopericarditis

Am J Emerg Med. 2024 Mar:77:233.e1-233.e3. doi: 10.1016/j.ajem.2023.12.038. Epub 2023 Dec 29.

Authors

Philip Pazderka¹, Curt Hemphill²

Affiliations

¹ Emergency Medicine, Western Michigan University Homer Stryker, MD School of Medicine, Kalamazoo, MI, United States of America. Electronic address: Philip.Pazderka@wmed.edu.
² Emergency Medicine Resident, Western Michigan University Homer Stryker, MD School of Medicine, United States of America; Emergency Medicine, Western Michigan University Homer Stryker, MD School of Medicine, Kalamazoo, MI, United States of America. Electronic address: Curt.Hemphill@Wmed.edu.

PMID: 38184442
DOI: 10.1016/j.ajem.2023.12.038

Abstract

Spontaneous Coronary Artery Dissection (SCAD) is a significant cause of acute coronary syndrome. SCAD frequently affects young women, often without cardiovascular risk factors. Coronary angiography is the diagnostic mode of choice. Based on clinical context, treatment is divided into conservative methods and revascularization with either percutaneous coronary intervention or bypass grafting. This case report describes a 26-year-old female with a preceding diagnosis of myopericarditis who presented to the ED with inferior STEMI and was subsequently diagnosed with a spontaneous right coronary artery dissection.

Keywords: Myopericarditis; STEMI; Spontaneous coronary artery dissection (SCAD).

Publication types

Case Reports

MeSH terms

Adult
Coronary Angiography / adverse effects
Coronary Vessel Anomalies* / diagnosis
Coronary Vessel Anomalies* / diagnostic imaging
Coronary Vessels
Female
Humans
Percutaneous Coronary Intervention* / methods
Retrospective Studies
Risk Factors
Vascular Diseases* / congenital*
Vascular Diseases* / diagnosis
Vascular Diseases* / diagnostic imaging

Supplementary concepts

Coronary Artery Dissection, Spontaneous