[Spontaneous dissection of coronary arteries. Apropos of 2 new cases with favourable course].
The authors report two new cases of spontaneous coronary dissection and discuss the real frequency of this disease as well as their generally reported poor prognosis. One case was a 32-year-old female migraine-sufferer treated by beta-blockers, who developed a rudimentary anterior myocardial infarction. The other case was a 43-year-old man who presented with a threatened anterior myocardial infarction without myolysis documented by cardiac enzymes. Both patients were smokers and both had an excellent outcome, clinically and on stress tests, with a follow-up on medical treatment alone of thirty months for the first case and fourteen months for the second case. These two new cases had a good prognosis, in contrast with the majority of cases published.
Roche
R
R
Service de Cardiologie et de Réanimation Polyvalente, Centre Hospitalier Généra, Vichy.
Bitar
G
G
Aswad
K
K
Marcollet
P
P
Remion
L
L
Marcaggi
X
X
Curnier
J M
JM
Amat
G
G
D000328:Adult; D003327:Coronary Disease / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000628:therapy; D013997:Time Factors