title: Multiple Spontaneous Coronary Artery Dissections: An Uncommon Cause of Acute Coronary Syndrome in a Syrian Refugee.
abstract: Spontaneous coronary artery dissection is an uncommon nonatherosclerotic cause of acute coronary syndrome. It usually occurs in young women and is often associated with fibromuscular dysplasia, connective tissue diseases, and pregnancy or postpartum states. We present a case of a Syrian woman with a history of grand multiparity and recent miscarriage who presented with non-ST-elevation myocardial infarction and was found to have multivessel spontaneous coronary artery dissection and severe left ventricular dysfunction.
authors.affiliation: Division of Cardiology, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada.
authors.forename: Tina
authors.initials: T
authors.lastname: Zhu
authors.affiliation: Division of Cardiology, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada.
authors.forename: Peggy
authors.initials: P
authors.lastname: DeJong
authors.affiliation: Division of Cardiology, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada. Electronic address: amerschedule@gmail.com.
authors.forename: Amer M
authors.initials: AM
authors.lastname: Johri
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis; D000328:Adult; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D012036:Refugees; D013593:Syria; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology*