A case of spontaneous coronary artery dissection with early de novo recurrence. Issue 1 (July 2019)

• Record Type: Journal Article
• Authors: Okura, Takafumi; Takahashi, Koji; Sakaue, Tomoki; Ueda, Sou; Enomoto, Daijiro; Yamamoto, Daichi; Sasaki, Daisuke; Kono, Taizo; Uemura, Shigeki
• Is Part Of: Journal of cardiology cases. Volume 20:Issue 1(2019)
• Page Start: 1
• Page End: 3
• Publication Date: 2019-07
• Subjects: Spontaneous coronary artery dissection -- De novo recurrence -- Hormonal therapy -- Acute coronary syndrome; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2019.01.006
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome compared with atherosclerotic plaque rupture and predominantly occurs in young women. SCAD is associated with various conditions, such as emotional stress, pregnancy, hormonal therapy, collagen diseases, fibromuscular dysplasia, or vasospasm. Long-term cardiovascular events are common including the recurrence of SCAD. We report a case of SCAD with de novo recurrence at only 4 days after the first attack. <Learning objectives: Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome (ACS) compared with atherosclerotic plaque rupture, but if young to middle-aged women develop ACS, a high suspicion of SCAD is warranted. Recurrence of SCAD is common with 4- to 10-year follow-up. However, SCAD recurred early as in our case.>