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Review

Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome

Nureddin K. Almaddah, MD, Mohamed S. Morsy, MD, Dwight Dishmon, MD and Rami N. Khouzam, MD, FACC, FACP, FASNC, FASE, FSCAI
Cleveland Clinic Journal of Medicine April 2019, 86 (4) 252-256; DOI: https://doi.org/10.3949/ccjm.86a.18078
Nureddin K. Almaddah
Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN
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  • For correspondence: [email protected]
Mohamed S. Morsy
Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN
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Dwight Dishmon
Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN
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Rami N. Khouzam
Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN
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    Figure 1

    A 12-lead electrocardiogram showed ST-segment elevation of more than 2 mm in leads V2, V3, V4, and V5 (arrows), with no reciprocal changes.

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    Figure 2

    Coronary angiography before treatment revealed a long segment of diffuse, smooth narrowing of the mid-left anterior descending coronary artery that did not reverse after administration of intracoronary nitroglycerin. Inset, artist’s illustration showing coronary dissection.

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    Figure 3

    After stenting, the vessel regained normal flow. Inset, artist’s illustration showing a stent in place.

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Cleveland Clinic Journal of Medicine: 86 (4)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 4
1 Apr 2019
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Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
Nureddin K. Almaddah, Mohamed S. Morsy, Dwight Dishmon, Rami N. Khouzam
Cleveland Clinic Journal of Medicine Apr 2019, 86 (4) 252-256; DOI: 10.3949/ccjm.86a.18078

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Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
Nureddin K. Almaddah, Mohamed S. Morsy, Dwight Dishmon, Rami N. Khouzam
Cleveland Clinic Journal of Medicine Apr 2019, 86 (4) 252-256; DOI: 10.3949/ccjm.86a.18078
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  • Article
    • ABSTRACT
    • CORONARY ARTERY WALL SEPARATION
    • CASE CONTINUED: MANAGEMENT
    • SCAD: RARE OR JUST RARELY RECOGNIZED?
    • DIAGNOSIS BY ANGIOGRAPHY
    • MANAGE MOST CASES CONSERVATIVELY
    • WHEN TO CONSIDER AGGRESSIVE MANAGEMENT
    • SCREEN FOR OTHER VASCULAR PROBLEMS
    • LONG-TERM MANAGEMENT
    • REFERENCES
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  • Info & Metrics
  • PDF

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