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        Spontaneous Coronary Artery Dissection : The Phantom Menace

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        Author
        Spinthakis, Nikolaos
        Abdulkareem, Nada
        Farag, Mohamed
        Gorog, Diana A
        Attention
        2299/21322
        Abstract
        We present a case of a 66-year-old lady with chest pain, without dynamic 12-lead electrocardiographic (ECG) changes and normal serial troponin. Coronary angiography revealed a linear filing defect in the first obtuse marginal branch of the circumflex artery indicating coronary artery dissection, with superadded thrombus. She was managed medically with dual antiplatelet therapy and has responded well. Spontaneous coronary artery dissection (SCAD) is a rare cause of cardiac chest pain, which can be missed without coronary angiography. Unlike most other lesions in patients with unstable symptoms, where coronary intervention with stenting is recommended, patients with SCAD generally fare better with conservative measures than with intervention, unless there is hemodynamic instability.
        Publication date
        2016-12-01
        Published in
        Cardiology research
        Published version
        https://doi.org/10.14740/cr513w
        License
        http://creativecommons.org/licenses/by/4.0/
        Other links
        http://hdl.handle.net/2299/21322
        Relations
        School of Life and Medical Sciences
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