title: Spontaneous coronary artery dissection in a 22-year-old man on lisdexamfetamine.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare cause of coronary events and sudden cardiac death. SCAD can present with a wide spectrum of clinical presentations and as an entity remains underrecognized. Several risk factors, such as female gender, peripartum and early postpartum state, and atherosclerotic disease, have been attributed to SCAD. Amphetamine use has been attributed to an increased risk for coronary artery events. We present a case of a 22-year-old man on lisdexamfetamine and no other significant medical history who presented with SCAD and was successfully treated with medical management.
authors.affiliation: Department of Internal Medicine (Afzal) and Division of Cardiology (Sarmast, Schussler), Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital; and Texas A&M College of Medicine (Schussler); and the University of Texas at Austin (Weber).
authors.forename: Aasim M
authors.initials: AM
authors.lastname: Afzal
authors.affiliation: Department of Internal Medicine (Afzal) and Division of Cardiology (Sarmast, Schussler), Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital; and Texas A&M College of Medicine (Schussler); and the University of Texas at Austin (Weber).
authors.forename: Syed A
authors.initials: SA
authors.lastname: Sarmast
authors.affiliation: Department of Internal Medicine (Afzal) and Division of Cardiology (Sarmast, Schussler), Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital; and Texas A&M College of Medicine (Schussler); and the University of Texas at Austin (Weber).
authors.forename: Nicholas A
authors.initials: NA
authors.lastname: Weber
authors.affiliation: Department of Internal Medicine (Afzal) and Division of Cardiology (Sarmast, Schussler), Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital; and Texas A&M College of Medicine (Schussler); and the University of Texas at Austin (Weber).
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Schussler