title: Spontaneous Coronary Dissection Masquerading as Benign Fascicular Ventricular Tachycardia.
abstract: Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome. Diagnosis of coronary artery dissection is made on coronary angiogram and prompt revascularisation is the key in management. We present a case of coronary artery dissection with an atypical presentation of cardiac arrhythmia mimicking benign fascicular ventricular tachycardia. A high index of suspicion and early coronary angiogram allowed us to diagnose and treat this potentially life-threatening disease.
authors.affiliation: Department of Medicine, National University Hospital, National University Health System, Singapore.
authors.forename: Sara Wei-Fen
authors.initials: SW
authors.lastname: Ho
authors.affiliation: Cardiac Department, National University Heart Centre Singapore, National University Health System, Singapore. Electronic address: weiqin_lin@nuhs.edu.sg.
authors.forename: Weiqin
authors.initials: W
authors.lastname: Lin
authors.affiliation: Cardiac Department, National University Heart Centre Singapore, National University Health System, Singapore.
authors.forename: Koo Hui
authors.initials: KH
authors.lastname: Chan
authors.affiliation: Cardiac Department, National University Heart Centre Singapore, National University Health System, Singapore.
authors.forename: Swee-Chong
authors.initials: SC
authors.lastname: Seow
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging* / Q000601:surgery; D014652:Vascular Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Electrocardiogram; Intravascular ultrasound; Percutaneous coronary intervention; Spontaneous coronary artery dissection; Ventricular tachycardia