scholarly journals Postpartum Sudden Cardiac Death After Spontaneous Coronary Artery Dissection in a Patient With Fibromuscular Dysplasia

2017 ◽  
Vol 8 (6) ◽  
pp. 327-330 ◽  
Author(s):  
Tannaz Shoja ◽  
Craig Basman ◽  
Suresh Jain ◽  
Aditya Mangla ◽  
Zoran Lasic
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Fibromuscular Dysplasia ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection

scholarly journals Sudden Cardiac Death Following Thrombolysis in a Young Woman with Spontaneous Coronary Artery Dissection: A Case Report

2021 ◽  
Vol 22 ◽  
Author(s):  
Serigne Cheikh Tidiane Ndao ◽  
Amer Zabalawi ◽  
Mame Madjiguène Ka ◽  
Khadidiatou Dia ◽  
Waly N. Mboup ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Young Woman ◽  
Cardiac Death ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
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 Sudden Cardiac Death in Patients With Spontaneous Coronary Artery Dissection

2017 ◽  
Vol 70 (1) ◽  
pp. 114-115 ◽  
Author(s):  
Shilpa Sharma ◽  
Guy Rozen ◽  
Jessica Duran ◽  
Theofanie Mela ◽  
Malissa J. Wood
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection

Abstract 15492: Spontaneous Coronary Artery Dissection: Characterizing Presentation, Management, and Outcomes at a Large Referral Cardiovascular Center

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Daniel M Shivapour ◽  
Phillip Erwin ◽  
Heather L Gornik ◽  
Esther S Kim
Keyword(s):  
Coronary Artery ◽  
Fibromuscular Dysplasia ◽  
Patient Characteristics ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Young Females ◽  
Vascular Ultrasound ◽  
Time Period ◽  
Cardiovascular Center

Introduction: Non-atherosclerotic spontaneous coronary artery dissection (SCAD) primarily affects women and may be associated with arteriopathies such as fibromuscular dysplasia (FMD). We aimed to describe patient characteristics, management, and outcome of SCAD at a large referral center. Methods: We queried our institutional cardiac cath database for SCAD diagnoses from 2000-2014. The electronic medical record was also queried for consecutive SCAD patients seen in a specialty arteriopathy clinic from 2010-2015. Details regarding presentation, treatment, and outcome of SCAD were collected. Trends in management over two time periods (2000-2009, 2010-2015) were compared. Results: There were 96 SCAD events in 75 patients (16 patients had one recurrence, one had three events, and one had four distinct events). Mean age at presentation was 47 years, 83% were female, and 84% presented with ACS. The LAD was the most commonly affected vessel (54%). Most SCAD events were treated medically (52%). Of 41 events treated with PCI, 19 were complicated by hematoma extension. Four PCI patients required subsequent CABG. Imaging of other arterial beds increased over time, with 2/3 patients receiving vascular ultrasound to evaluate for renal or carotid FMD in the more recent time period (Table). Of those evaluated for FMD, 45% had imaging findings compatible with multifocal FMD. Significant carotid tortuosity was present in 38%, with four demonstrating a classic “S surve” appearance recently shown to be a variant presentation of FMD. All patients survived to index hospitalization discharge, however, 24% of patients had at least one recurrence. Conclusions: SCAD affects predominantly young females and often manifests as ACS. Findings of FMD or carotid tortuosity are frequent and recognition of SCAD as a potential manifestation of FMD is increasing in our institution. In support of other reports, recurrence of SCAD is not rare and PCI attempts are complicated nearly half of the time.

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