title: Successful treatment of a late presentation exercise-induced spontaneous left anterior descending artery dissection.
abstract: Spontaneous coronary artery dissection is an unusual condition that mainly happens in fit and healthy women in the peripartum period. Strenuous exercise is a rare cause of dissection in angiographically normal coronary arteries. There is no definitive consensus on the etiology, prognosis and treatment of SCAD. We report a case of successful treatment of a late presentation of a coronary artery dissection secondary to intense physical activity in a 48 year old cyclist who continued to cycle for 3 months post event.
authors: Kingston Hospital, Galsworthy Road, Kingston upon Thames, Surrey, KT2 7QB, United Kingdom. s.tehrani@ucl.ac.uk
authors: Shana
authors: S
authors: Tehrani
authors: Muhammed Zeeshan
authors: MZ
authors: Khawaja
authors: Simon
authors: S
authors: Redwood
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001642:Bicycling; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D054855:Drug-Eluting Stents; D000068338:Everolimus; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D020123:Sirolimus / Q000031:analogs & derivatives; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000068338:Everolimus; D020123:Sirolimus