title: [Spontaneous coronary artery dissection and ST-segment elevation myocardial infarction (STEMI)].
abstract: Spontaneous coronary artery dissection (SCAD) is a poorly understood and under-diagnosed entity of acute coronary syndrome, affecting predominantly young women. On coronary angiography, the diagnosis remains challenging, particularly in case of intramural hematoma without intimal rupture. Intracoronary imaging, especially by optical coherence tomography (OCT), provides an incremental value in terms of diagnosis and management. We report the case of a 49-year-old woman admitted for STEMI caused by an intramural hematoma. In the discussion part, we aim to review the epidemiology, physiopathology, diagnosis, management and long-term prognosis of SCAD.
authors.affiliation: Department of Cardiology, Gabriel-Montpied Hospital, Clermont-Ferrand University Hospital, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. Electronic address: guilhem.malcles@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Malcles
authors.affiliation: Department of Cardiology, Gabriel-Montpied Hospital, Clermont-Ferrand University Hospital, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. Electronic address: n_combaret@chu-clermontferrand.fr.
authors.forename: N
authors.initials: N
authors.lastname: Combaret
authors.affiliation: Department of Cardiology, Gabriel-Montpied Hospital, Clermont-Ferrand University Hospital, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France. Electronic address: pmotreff@chu-clermontferrand.fr.
authors.forename: P
authors.initials: P
authors.lastname: Motreff
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D004359:Drug Therapy, Combination; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D006406:Hematoma / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D011379:Prognosis; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D041623:Tomography, Optical Coherence / Q000379:methods; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000319:Adrenergic beta-Antagonists; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000925:Anticoagulants
keywords: Acute coronary syndrome; Dissection coronaire spontanée; Hématome pariétal; Intramural hematoma; Optical coherence tomography (OCT); Spontaneous coronary artery dissection (SCAD); Syndrome coronarien aigu; Tomographie par cohérence optique (OCT)