When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female.
Spontaneous coronary artery dissection is a poorly understood phenomenon that usually affects women during pregnancy or the immediate post-partum period. We present the case of a 60-year-old female with chronic obstructive pulmonary disease who presented with vague complaints of shortness of breath, dizziness, and weakness with a mildly elevated troponin. She denied any anginal symptoms. As part of her initial workup, a nuclear stress test revealed inferior wall reversible changes. Coronary angiography revealed spontaneous right coronary artery dissection which was treated with a drug-eluting stent.
Division of Cardiovascular Medicine, University of Tennessee Health Science Center, Memphis, TN, USA; Yenalharper@hotmail.com.
Yenal
Y
Harper
Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Manyoo
M
Agarwal
Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Krishna
K
Gannamraj
Division of Cardiovascular Medicine, Mount Sinai Hospital, Chicago, IL, USA.
Sneha
S
Parmar
Division of Cardiovascular Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Inyong
I
Hwang
Division of Cardiovascular Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Shadwan
S
Alsafwah
angiography; coronary; dissection