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2018, Number 2

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Rev Clin Esc Med 2018; 8 (2)

Disección espontanea de la arteria coronaria: reporte de caso

Molina LCD, Wong M
Full text How to cite this article

Language: Spanish
References: 11
Page: 1-5
PDF size: 300.86 Kb.


Key words:

Spontaneous coronary artery dissection, Cardiac rehabilitation.

ABSTRACT

Spontaneous coronary artery dissection (SCAD) is defined as the non-traumatic and non-iatrogenic separation of the coronary artery walls in the absence of atherosclerosis, producing bleeding that causes flow obstruction, being an infrequent cause of acute coronary syndrome (ACS), presents risk factors for its presentation; young population, women, postpartum, connective tissue disorders, systemic vasculopathies, vigorous and excessive exercise. There are few studies on male patients and athletes who has SCAD, the problem arises of how to make this population return to its basal physical activity, we demosntrate this problema by presenting the case of a 23 years old healthy male boxer, which shows ACS data with ST elevation in the anterolateral aspect, after a vigorous exercise load, without risk factors for atherosclerotic disease. The literary review shows that cardiac rehabilitation programs have been created for this pathology derived from the regular programs for atherosclerotic disease, where the blood pressure and weight figures are limited, in order to limit stress in the cardiovascular system, but it is not taken in account to the high performance athlete population that could present a regression in their basal physical condition or will not see a maintenance of this.


REFERENCES

  1. Michiaki Tokura et al, Clinical features of spontaneous coronary artery dissection. Journal of Cardiology 63 (2014) 119– 122

  2. Tweet MS et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 2012;126:579–88

  3. Rachel A. Lindor et al. Emergency department presentation of patients with spontaneous coronary artery dissection. The Journal of Emergency Medicine, Vol. 52, No. 3, pp. 286– 291, 2017

  4. Satyavan Sharma et al. Spontaneous coronary artery dissection: Case series and review of literatura. Indian Heart Journal 68 (2016) 480-485

  5. Katherine C. Michelis et al. Coronary Artery Manifestations of Fibromuscular Dysplasia. The American College of Cardiology. vol. 64, 2014

  6. Tryn C. Silber et al. Cardiac Rehabilitation After Spontaneous Coronary Artery Dissection. Journal of Cardiopulmonary Rehabilitation and Prevention 2015;35:1-6

  7. Branislav Schifferdecker et al. Spontaneous Coronary Artery Dissection Associated With Sexual Intercourse. The American Journal of Cardiology Vol. 93,2004

  8. Annie Y. Chou et al. First Dedicated Cardiac Rehabilitation Program for Patients With Spontaneous Coronary Artery Dissection: Description and Initial Results. Canadian Journal of Cardiology, 2016, vol 3; 554e560

  9. Paul D. Thompson et al. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities:Task Force 8:CoronaryArteryDisease. Journal of The American College of Cardiology vol. 66, 2015

  10. Jacqueline Saw et al. Contemporary Review on Spontaneous Coronary Artery Dissection. Journal of The American College of Cardiology. vol. 68, 2016

  11. Marysia S. et al. What Clinicians Should Know About Spontaneous Coronary Artery Dissection. Mayo Clin Proc.n August 2015;90(8):1125-1130




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Rev Clin Esc Med. 2018;8