title: Spontaneous coronary artery dissection: is there a metabolic association?
abstract: Spontaneous coronary artery dissection is an uncommon cause of chest pain and acute myocardial infarction, occurring most classically in young women without cardiovascular risk factors. We present a case of a man presenting with chest pain and arrhythmia found to have multivessel spontaneous coronary artery dissection and hyperhomocysteinemia and we raise the possibility of a potential link between the two conditions.
authors.affiliation: Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Liang
authors.forename: J H
authors.initials: JH
authors.lastname: Skalski
authors.forename: R
authors.initials: R
authors.lastname: Mankad
mesh_terms: D001145:Arrhythmias, Cardiac / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D002637:Chest Pain / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D020138:Hyperhomocysteinemia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000188:drug therapy
keywords: acute coronary syndrome; homocysteine; hyperhomocysteinemia; spontaneous coronary artery dissection; ventricular tachycardia