Spontaneous Coronary Artery Dissection: A Case Series and Review of the Literature

Authors

Shaikh B. Iqbal, MedStar Health Internal Medicine Residency Program, Baltimore, MDFollow
Yakubu Bene-Alhasan, MedStar Health Internal Medicine Residency Program, Baltimore, MDFollow
Shiavax J. Rao, Department of Medicine, MedStar Union Memorial Hospital, Baltimore, MDFollow

Abstract

Although previously considered rare, spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction in young women. We present three unique cases of SCAD: A 46-year-old woman with a history of trigeminal neuralgia and anxiety presenting elevated troponin-I and chest pain. A 36- year-old woman with recent miscarriage presenting with diffuse T wave inversions and elevated troponin-I. A 58-year-old man with a recent COVID-19 infection presenting with diffuse ST elevations. SCAD is associated with many risk factors. Conservative management is preferred due to spontaneous healing of vessels compared to PCI driven management of atherosclerotic acute coronary syndrome.

Recommended Citation

Iqbal, Shaikh B.; Bene-Alhasan, Yakubu; and Rao, Shiavax J. (2024) "Spontaneous Coronary Artery Dissection: A Case Series and Review of the Literature," Journal of Community Hospital Internal Medicine Perspectives: Vol. 14: Iss. 4, Article 7.
DOI: 10.55729/2000-9666.1355
Available at: https://scholarlycommons.gbmc.org/jchimp/vol14/iss4/7