title: Spontaneous multivessel coronary artery dissection associated with elevated homocysteine levels.
abstract: 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.
authors.affiliation: Department of Medicine, Section of Cardiology, The Aga Khan University, Karachi-74800. najaf.nadeem@aku.edu
authors.forename: Syed Muhammad
authors.initials: SM
authors.lastname: Najaf
authors.forename: Ata-Ur- Rehman
authors.initials: AR
authors.lastname: Quraishi
authors.forename: Khawar Abbas
authors.initials: KA
authors.lastname: Kazmi
mesh_terms: 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
chemical_list: D006710:Homocysteine