Spontaneous multivessel coronary artery dissection associated with elevated homocysteine levels.
A case of spontaneous multi-vessel coronary artery dissection in a young man, with markedly elevated serum homocysteine levels, is reported. The effects of elevated homocysteine levels on arterial endothelial function and possible plaque rupture leading to coronary dissection and acute coronary syndrome and / or sudden cardiac death are also discussed.
Najaf
Syed Muhammad
SM
Department of Medicine, Section of Cardiology, The Aga Khan University, Karachi-74800. najaf.nadeem@aku.edu
Quraishi
Ata-Ur- Rehman
AR
Kazmi
Khawar Abbas
KA
D000328:Adult; D000784:Aortic Dissection / Q000097:blood*; D003323:Coronary Aneurysm / Q000097:blood*; D003331:Coronary Vessels / Q000473:pathology; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D008297:Male
D006710:Homocysteine