title: [Spontaneous dissection of coronary arteries. Apropos of 2 new cases with favourable course].
abstract: 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.
authors.affiliation: Service de Cardiologie et de Réanimation Polyvalente, Centre Hospitalier Généra, Vichy.
authors.forename: R
authors.initials: R
authors.lastname: Roche
authors.forename: G
authors.initials: G
authors.lastname: Bitar
authors.forename: K
authors.initials: K
authors.lastname: Aswad
authors.forename: P
authors.initials: P
authors.lastname: Marcollet
authors.forename: L
authors.initials: L
authors.lastname: Remion
authors.forename: X
authors.initials: X
authors.lastname: Marcaggi
authors.forename: J M
authors.initials: JM
authors.lastname: Curnier
authors.forename: G
authors.initials: G
authors.lastname: Amat
mesh_terms: 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