title: [Sequential spontaneous coronary artery dissection in a female patient on oral ephedrine].
abstract: Spontaneous coronary artery dissection (SCAD) is an infrequent, but not rare, cause of acute coronary syndrome. It mainly affects young women, often with few or no traditional cardiovascular risk factors. In the case described, a 57-year-old woman experienced a first episode of SCAD involving a distal branch of the circumflex coronary artery--treated conservatively--followed, after a few hours, by a second episode of SCAD involving the left anterior descending coronary artery, complicated by hemodynamic instability and treated with emergency angioplasty. During the previous months, the patient was taking a slimming drug containing ephedrine. Dual spontaneous coronary dissection of different type and involving two different vessels, which occurred in the same patient within a few hours, testifies the heterogeneity of the clinical picture of this syndrome and of the therapeutic approach.
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Misuraca
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Paola
authors.initials: P
authors.lastname: Pasqualini
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Baratta
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Paolo
authors.initials: P
authors.lastname: Calabria
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Andrea
authors.initials: A
authors.lastname: Picchi
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Alberto
authors.initials: A
authors.lastname: Cresti
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Ugo
authors.initials: U
authors.lastname: Limbruno
authors.affiliation: U.O. Cardiologia-Emodinamica, Ospedale della Misericordia, Grosseto.
authors.forename: Silva
authors.initials: S
authors.lastname: Severi
mesh_terms: D000284:Administration, Oral; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000503:physiopathology / Q000628:therapy*; D004809:Ephedrine / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014652:Vascular Diseases / Q000151:congenital* / Q000503:physiopathology / Q000628:therapy
chemical_list: D004809:Ephedrine