title: Heavy Lifting Causing Spontaneous Coronary Artery Dissection with Anterior Myocardial Infarction in a 54-Year-Old Woman.
abstract: Spontaneous coronary artery dissection in association with strenuous exercise and weightlifting is rather sparsely described in the medical literature. Diagnosis and treatment of this rare condition is a challenge, but prompt recognition and appropriate early choice of angioplasty or surgery can lead to a good outcome. We report the case of a postmenopausal 54-year-old woman who presented with anterior myocardial infarction caused by spontaneous dissection of the left anterior descending coronary artery after she had lifted a heavy weight while gardening. The patient was treated successfully by means of angioplasty and the implantation of 3 drug-eluting stents. In addition to presenting the patient's case, we review the topical medical literature.
authors.forename: Kyriakos
authors.initials: K
authors.lastname: Yiangou
authors.forename: Kyriacos
authors.initials: K
authors.lastname: Papadopoulos
authors.forename: Chara
authors.initials: C
authors.lastname: Azina
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D054855:Drug-Eluting Stents; D004562:Electrocardiography; D005260:Female; D006801:Humans; D017770:Lifting / Q000009:adverse effects*; D008875:Middle Aged; D014652:Vascular Diseases / Q000151:congenital* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
keywords: Aneurysm, dissecting/complications/diagnosis/etiology/radiography; myocardial infarction/etiology; risk factors; treatment outcome; weight lifting/injuries