Spontaneous coronary artery dissection is a very rare cause of acute coronary syndromes and can be life threatening given the rarity of the condition. It should be part of differentials in young females presenting with acute coronary syndromes without routine risk factors for coronary artery disease, especially before, during, and after pregnancy. It is closely associated with fibromuscular dys...

cocaine is used by more than 14 million people worldwide, about 0.3 percent of the global population age is 15 to 64 years. after alcohol, cocaine is the most common cause of acute drug-related emergency department visits in the united states. cocaine consumption is more frequently associated with acute cardiovascular illness.  cocaine stimulates α 1 , α 2 , β 1 and β 2 adrenergic receptors thr...

Spontaneous coronary artery dissection remains a rare but important cause of acute coronary syndromes. Presentation depends on the extent of the dissection, the vessels involved and the rate of its development, and can encompass the entire spectrum of coronary syndromes, with some patients being asymptomatic and others presenting with angina, non-ST segment elevation myocardial infarction, ST-e...

Spontaneous coronary artery dissection is an unusual cause of acute coronary syndrome. We describe a series of cases that with an early diagnosis and aggressive treatment, which includes percutaneous angioplasty with stent implantation and cardiac surgery, had a good outcome. The objective was to study the demographic characteristics, clinical settings, treatments, and inhospital course of pati...

In late years spontaneous coronary artery dissection (SCAD) had emerging as a non-atherosclerotic cause of acute syndrome (ACS).We report an interesting case young male patient presenting to emergency with substernal chest discomfort positive troponin and electrocardiogram changes consistent NSTEMI.Percutaneous Coronary Intervention (PCI) was initiated following ACS PROTOCOL, which found critic...

The authors present the case of a 54-year-old woman with iatrogenic dissection of the right coronary artery ostium and extension of the dissection to the ascending aorta during the intraluminal angioplasty of an obstructive lesion in the middle portion of the right coronary artery. In order to maintain coronary blood flow before surgery, the coronary dissection was treated with the implantation...

survey of anatomic variations of coronary arteries is the most fundamental of researches in the field of these vessels. for performing this survey, coronary arteries (ca's) of 463 human heart cases (gathered from three different surces: 1) legal medicine center corpses, 2) cadavers of dissection rooms in medical schools, and 3) ca's angiographic films from hospital centers) were studi...

Spontaneous coronary dissection is more commonly reported in females and is an important differential diagnosis for acute coronary syndrome. Accelerated idioventricular rhythm has been reported before with reperfusion post myocardial ischemia. We report a case of accelerated idioventricular rhythm in a patient with spontaneous coronary artery dissection. A 45-yearold Caucasian female presented ...

BACKGROUND Spontaneous coronary dissection is a rare cause of acute myocardial infarction (AMI). Its aetiology and treatment have not yet been well defined. In this report, we review the clinical presentation, the aetiology, the risk factors and the treatment of 6 cases of AMI due to spontaneous coronary dissection. METHODOLOGY AND RESULTS We have reviewed 1100 cases of AMI having undergone c...

Catheter-induced coronary artery dissection is a rare but devastating complication of coronary angiography and percutaneous coronary intervention (PCI). Complications during PCI include coronary artery dissection, intramural hematoma, coronary artery perforation, and occlusion of branch vessels. Stent perforation is more unusual and potentially fatal. Here, we report a 68-year-old uremic woman ...