Spontaneous multivessel coronary artery dissection in a long-distance runner successfully treated with oral antiplatelet therapy.
Spontaneous coronary artery dissection is an unusual yet clinically important cause of acute coronary syndromes. We present the case of a 37-year-old woman, actively training for a marathon, who presented with a non-Q wave myocardial infarction due to multivessel spontaneous coronary artery dissection, along with a review of the literature on spontaneous coronary artery dissections manifesting as acute myocardial infarctions.
Choi
James W
JW
Department of Medicine, Division of Cardiology, Northwestern University Medical School, Chicago, IL, USA. cdavidso@nmh.org
Davidson
Charles J
CJ
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D001241:Aspirin / Q000627:therapeutic use*; D000077144:Clopidogrel; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D015444:Exercise; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011859:Radiography; D013988:Ticlopidine / Q000031:analogs & derivatives* / Q000627:therapeutic use*
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin