Abstract | BACKGROUND: CASE SUMMARY: A 38-year-old woman presented to the hospital with chest pain and elevated high-sensitivity Troponin. Invasive coronary angiography demonstrated SCAD of the left anterior descending artery. The same day the patient developed a severe progressive headache and subsequent imaging revealed a left vertebral artery dissection. She was managed conservatively with optimal medical therapy and was successfully discharged from hospital on Day 7. DISCUSSION: To our knowledge, this is the first case report of simultaneous spontaneous coronary and vertebral artery dissections not related to pregnancy. It highlights not only the importance of recognizing and accurately diagnosing SCAD, but also of appreciating the possibility of underlying arteriopathy: this is paramount to ensuring appropriate investigations, follow-up and assessment of any unexplained symptoms in this patient group.
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Authors | Lynsey Hewitson, Chih Wong, Shahid Aziz, Amardeep Dastidar |
Journal | European heart journal. Case reports
(Eur Heart J Case Rep)
Vol. 5
Issue 3
Pg. ytab035
(Mar 2021)
ISSN: 2514-2119 [Electronic] England |
PMID | 33733046
(Publication Type: Case Reports)
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Copyright | © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. |