Recurrent spontaneous coronary artery dissection with transient left ventricular systolic dysfunction.
Spontaneous coronary artery dissection (SCAD) is a potentially life-threatening entity with a variety of clinical presentations. We report a patient who presented with chest pain and angiographic evidence of coronary dissection. Due to the rapid resolution of symptoms and benign-appearing nature of the dissection, no intervention was pursued and the patient was maintained on medical therapy. She represented 2 days later with substernal chest pain, dynamic EKG changes, positive cardiac biomarkers and a transient depression of her left ventricular function.
Ardehali
Reza
R
Brinton
Todd J
TJ
Wilson
Andrew M
AM
Gradman
Marc
M
Vagelos
Randall H
RH
Lee
David P
DP
D000784:Aortic Dissection / Q000150:complications* / Q000188:drug therapy; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003323:Coronary Aneurysm / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D013599:Systole; D018487:Ventricular Dysfunction, Left / Q000188:drug therapy / Q000209:etiology*
D002317:Cardiovascular Agents