title: Multivessel spontaneous coronary artery dissection in a patient with severe systolic hypertension: a possible association. A case report.
abstract: Spontaneous coronary artery dissection (SCAD) is an uncommon cause of myocardial ischemia and infarction. Hypertension has not been associated with SCAD. The authors report multivessel SCAD in an elderly woman with severe systolic hypertension. They postulate that hypertension of this degree may play a pathophysiologic role in the causation of SCAD.
authors.affiliation: Department of Medicine, Mercy Catholic Medical Center, Darby, Pennsylvania 19023, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Greenblatt
authors.forename: G S
authors.initials: GS
authors.lastname: Kochar
authors.forename: M A
authors.initials: MA
authors.lastname: Albornoz
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000209:etiology*; D000787:Angina Pectoris / Q000209:etiology; D003323:Coronary Aneurysm / Q000209:etiology*; D003327:Coronary Disease / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D009203:Myocardial Infarction / Q000209:etiology; D017202:Myocardial Ischemia / Q000209:etiology