title: [Long-term follow-up after acute myocardial infarct cause by non-arteriosclerotic spontaneous coronary artery dissection].
abstract: Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction, primarily in young women. The etiology of dissections is still under discussion. Possible factors are inflammation, changes of flow dynamics, and preexisting intima lesions. We report on two young women, 49 and 30 years of age, who suffered and acute anterior wall infarction. Coronary angiography confirmed diagnosis of spontaneous coronary artery dissection of the LAD in the acute an subacute phase of acute myocardial infarction. The patients suffered no further cardiac events at long-term follow-up of up to 9 years.
authors.affiliation: Kardiologische Klinik des Herz- und, Diabeteszentrums Nórdrhcin-Westfalen, Universitätsklinik, Ruhruniversität Bochum, Bad Oeynhausen.
authors.forename: S
authors.initials: S
authors.lastname: Strick
authors.forename: H
authors.initials: H
authors.lastname: Seggewiss
authors.forename: M
authors.initials: M
authors.lastname: Ludwig
authors.forename: R
authors.initials: R
authors.lastname: Kamphues
authors.forename: D
authors.initials: D
authors.lastname: Fassbender
authors.forename: H K
authors.initials: HK
authors.lastname: Schmidt
authors.forename: U
authors.initials: U
authors.lastname: Gleichmann
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging*; D013318:Stroke Volume / Q000502:physiology; D016277:Ventricular Function, Left / Q000502:physiology
vernacular_title: Langzeitverlauf nach akutem Myokardinfarkt infolge einer nicht arteriosklerotischen spontanen Koronararteriendissektion.