title: Recurrent spontaneous coronary artery dissection with transient left ventricular systolic dysfunction.
abstract: 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.
authors.forename: Reza
authors.initials: R
authors.lastname: Ardehali
authors.forename: Todd J
authors.initials: TJ
authors.lastname: Brinton
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Wilson
authors.forename: Marc
authors.initials: M
authors.lastname: Gradman
authors.forename: Randall H
authors.initials: RH
authors.lastname: Vagelos
authors.forename: David P
authors.initials: DP
authors.lastname: Lee
mesh_terms: 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*
chemical_list: D002317:Cardiovascular Agents