title: Persistent spontaneous dissection of the left anterior descending coronary artery after emotional pressure.
abstract: A 51-year-old woman without cardiovascular risk factors experienced severe chest pain, accompanied by ST-segment elevation in lead II, III, AVF, and V4-V6. An immediately started thrombolytic therapy in a peripheral hospital successfully eliminated the cardiac symptoms and achieved complete ST-segment resolution. Subsequent cardiac angiography revealed a longitudinal spontaneous dissection in the distal part of the left anterior descending artery. Due to the small vessel size we decided on conservative therapeutic procedure with acetyl salicylamide, clopidogrel, statin, and beta blocker. Three months later, control angiography presented no resolution of the dissection and the patient showed excellent performance on stress test with no signs of ischemia.
authors.affiliation: Clinical Department of Radiology I, Medical University Innsbruck, Innsbruck, Austria.
authors.forename: Agnes
authors.initials: A
authors.lastname: Mayr
authors.forename: Gert
authors.initials: G
authors.lastname: Klug
authors.forename: Werner
authors.initials: W
authors.lastname: Jaschke
authors.forename: Otmar
authors.initials: O
authors.lastname: Pachinger
authors.forename: Bernhard
authors.initials: B
authors.lastname: Metzler
mesh_terms: D000342:Affective Symptoms / Q000150:complications* / Q000175:diagnosis*; D000784:Aortic Dissection / Q000175:diagnosis* / Q000209:etiology*; D002908:Chronic Disease; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D013315:Stress, Psychological / Q000150:complications* / Q000175:diagnosis*