title: Acute myocardial infarction from spontaneous coronary artery dissection a case report and review of the literature.
abstract: Spontaneous coronary artery dissection is a rare event as a cause of acute myocardial infarction. Optimal treatment remains unclear. In this report, we describe a case of spontaneous acute coronary artery dissection presenting as recurrent acute myocardial infarction in a postmenopausal woman, successfully treated with systemic thrombolysis. The case is discussed with review of the pertinent literature.
authors.affiliation: Cardiology Unit San Giovanni Evangelista Hospital, Tivoli (Rome), Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Leone
authors.forename: Alfredo
authors.initials: A
authors.lastname: Macchiusi
authors.forename: Roberto
authors.initials: R
authors.lastname: Ricci
authors.forename: Elena
authors.initials: E
authors.lastname: Cerquetani
authors.forename: Marcello
authors.initials: M
authors.lastname: Reynaud
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000925:Anticoagulants / Q000627:therapeutic use; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D011994:Recombinant Proteins / Q000627:therapeutic use; D012008:Recurrence; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents; D011994:Recombinant Proteins; D010959:Tissue Plasminogen Activator