title: Acute myocardial infarction in two young women without significant risk factors.
abstract: Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome in young healthy females, with pregnancy and the use of oral contraceptive pills as recognized predisposing factors. We present two cases of acute myocardial infarction in two young females without significant risk factors and review the literature on spontaneous coronary artery dissection including diagnosis and treatment options.
authors.affiliation: Department of Medicine, Johns Hopkins University/Sinai Hospital, 2401 W. Belvedere Avenue, Baltimore, MD 21215, USA. llookma1@jhmi.edu
authors.forename: Lookman
authors.initials: L
authors.lastname: Lawal
authors.forename: Richard
authors.initials: R
authors.lastname: Lange
authors.forename: Steven
authors.initials: S
authors.lastname: Schulman
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D003276:Contraceptives, Oral / Q000009:adverse effects; D003323:Coronary Aneurysm / Q000150:complications*; D054059:Coronary Occlusion / Q000139:chemically induced / Q000150:complications; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced / Q000150:complications*; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology*
chemical_list: D003276:Contraceptives, Oral