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Coronary artery dissection in a 33-year-old man with fatigue and episodic retrosternal burning: a case report.


ABSTRACT:

Background

Non-atherosclerotic spontaneous coronary artery dissection (SCAD) is a rare disease that predominantly affects women. It presents with acute chest pain, ventricular arrhythmias, and even sudden cardiac death.

Case summary

A 33-year-old man presented to emergency department with fatigue and cold sweat. He had no complaint of chest pain at the time of admission. He experienced a retrosternal chest pain 2 days ago after lifting a 30 pounds weight in the gym. Para-clinic results such as coronary computed tomography angiography and electrocardiogram were normal. However, coronary angiography showed multiple coronary dissections. We followed the patient for 4 months. He was asymptomatic except for one episode of chest pain during Tehran earthquake, while he was carrying

SUBMITTER: Mehrani M 

PROVIDER: S-EPMC6177037 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature