[Coronary dissection associated with exercise: unusual cause of myocardial infarction].
A case of coronary artery dissection occurring immediately after weight training is reported in a young adult with no cardiovascular risk factor. The patient had an anterior myocardial infarction treated by primary coronary angioplasty and stenting. Other rare but similar cases have been reported in the literature with a generally poor prognosis. The physiopathological mechanisms acting during exercise or the immediate recovery period are thought to be either trauma of the arterial wall by the myocardium itself or coronary artery spasm. Present management of this condition is based on coronary angioplasty with stenting.
Bernard
F
F
Service de cardiologie, hôpital du Val-de-Gräce, 74, bd de Port-Royal, 75005 Paris.
Schiano
P
P
Ollivier
J P
JP
D000328:Adult; D000784:Aortic Dissection / Q000150:complications*; D003327:Coronary Disease / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D014891:Weight Lifting