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Revista Archivo Médico de Camagüey
On-line version ISSN 1025-0255
Abstract
CONSUEGRA-ESPINOSA, Oelnis et al. Spontaneous coronary artery dissection: concerning a case. AMC [online]. 2021, vol.25, n.6 Epub Dec 01, 2021. ISSN 1025-0255.
ABSTRACT
Background:
the spontaneous coronary artery dissection causes an acute myocardial infarction.
Objective:
to present the case of a patient suffering from spontaneous coronary artery dissection, this causes an acute myocardial infarction.
Case report:
a 55 years old, white, female patient with antecedents of essential systodiastolic systemic arterial hypertension stage I, overweight. Related to a physical effort, the patient begins complaining of an oppressive pre-cordial pain with typical characteristics of coronary illness. After the performance of cardiac biomarkers, electrocardiographic and imaging studies was diagnosed a non ST segment elevation acute coronary syndrome type Q, Killip Kimball I acute myocardial infarction; after that a corona-graphic study was carried out with a diagnostic of spontaneous coronary dissection, and it was decided a conservative treatment, with a good recovery.
Conclusion:
the spontaneous coronary artery dissection, although infrequently, is cause of acute myocardial infarction. Its clinical presentation can be similar to an acute coronary syndrome caused by an atherosclerotic coronary artery disease. The coronary angiography is a valuable test for the diagnosis. As it is the case we can choose between a conservative, endovascular with stent placement treatment or surgical treatment.
Keywords : ACUTE CORONARY SYNDROME/diagnosis; ACUTE CORONARY SYNDROME/drug therapy; MYOCARDIAL INFARCTION; CASE REPORTS; DIAGNOSTIC TECHNIQUES AND PROCEDURES.