Magarolas AAE, Vargas LJF, Kiamco CCR

Language: Spanish
References: 2
Page: 298-299
PDF size: 531.11 Kb.

ABSTRACT

Spontaneous coronary artery dissection is a rare and important cause of acute coronary syndrome. It is predominant in middle aged, Caucasian women. Treatment options include medical therapy, percutaneous coronary artery intervention or surgery. We describe a 63-year-old woman with a history of dyslipidemia and hypertension, began with acute chest pain. Coronary angiography was performed observing a type 1B pattern dissection, in the ostial segment of the left anterior descending artery, extending to the middle segment. Pharmacological treatment with beta-blockers, angiotensin receptor antagonists, and aspirin was initiated and well tolerated. She remained asymptomatic during hospitalization and was discharged without complications.

REFERENCES

1. García-Guimaraes M, Masotti M, Sanz-Ruiz R, Macaya F, RouraG, Nogales JM et al. Clinical outcomes in spontaneous coronaryartery dissection. Heart. 2022; 108 (19): 1530-1538. doi: 10.1136/heartjnl-2022-320830.

2. Saw J, Humphries K, Aymong E, Sedlak T, Prakash R, Starovoytov Aet al. Spontaneous coronary artery dissection: clinical outcomes andrisk of recurrence. J Am Coll Cardiol. 2017; 70 (9): 1148-1158. doi:10.1016/j.jacc.2017.06.053.