تقرير
A multivessel spontaneous coronary artery dissection presented with an acute coronary syndrome that was conservatively managed. A case report.
| العنوان: | A multivessel spontaneous coronary artery dissection presented with an acute coronary syndrome that was conservatively managed. A case report. |
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| المؤلفون: | Ahmed SA; Department of Cardiology, Mogadishu Somali-Turkish Training and Research Hospital, Madina Street, Madina district, Mogadishu, Somalia., Mohamed AH; Department of Internal Medicine, Mogadishu Somali-Turkish Training and Research Hospital, Mogadishu, Somalia., Waberi MM; Department of Cardiology, Mogadishu Somali-Turkish Training and Research Hospital, Madina Street, Madina district, Mogadishu, Somalia., Abdi IA; Department of Cardiology, Mogadishu Somali-Turkish Training and Research Hospital, Madina Street, Madina district, Mogadishu, Somalia., Hassan MO; Department of Cardiology, Mogadishu Somali-Turkish Training and Research Hospital, Madina Street, Madina district, Mogadishu, Somalia., Mohamud MA; Department of Cardiology, Mogadishu Somali-Turkish Training and Research Hospital, Madina Street, Madina district, Mogadishu, Somalia., Hassan MS; Department of Neurology, Mogadishu Somali-Turkish Training and Research Hospital, Mogadishu, Somalia. |
| المصدر: | Radiology case reports [Radiol Case Rep] 2023 Apr 29; Vol. 18 (7), pp. 2381-2384. Date of Electronic Publication: 2023 Apr 29 (Print Publication: 2023). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101467888 Publication Model: eCollection Cited Medium: Print ISSN: 1930-0433 (Print) Linking ISSN: 19300433 NLM ISO Abbreviation: Radiol Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2015-: Amsterdam : Elsevier Original Publication: Seattle, WA : University of Washington, 2006- |
| مستخلص: | A spontaneous coronary artery dissection (SCAD) is a tear that forms in a blood vessel in the heart without any obvious underlying etiology . It could be a single vessel or multiple vessels. We present a 48-year-old male known to be a heavy smoker without any chronic diseases or family history of heart disease who presents to the cardiology outpatient clinic with shortness of breath and chest pain on exertion. Electrocardiography demonstrated ST depression with T wave inversion of anterior leads, while echocardiography of the patient showed left ventricular systolic dysfunction with severe mitral regurgitation and mildly dilated left chambers. Based on his risks for coronary artery disease, his electrocardiography, and echocardiography, the patient was referred for elective coronary angiography to exclude the possibility of coronary artery disease. The angiography was done with the result of multivessel spontaneous coronary artery dissections involving the left anterior descending artery (LAD) and circumflex artery (CX) with a normal dominant right coronary artery (RCA). Due to the multi-vessel involvement of the dissection and the high risk of extension of the dissection, we preferred conservative management, including smoking cessation and heart failure management. The patient is doing well with regular heart failure treatment in cardiology follow-up. (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
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| فهرسة مساهمة: | Keywords: Electrocardiography; Multivessel SCAD; Smoking |
| تواريخ الأحداث: | Date Created: 20230514 Latest Revision: 20230516 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC10172632 |
| DOI: | 10.1016/j.radcr.2023.03.044 |
| PMID: | 37179811 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1930-0433 |
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| DOI: | 10.1016/j.radcr.2023.03.044 |