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Spontaneous Coronary Artery Dissection in a Male Patient With Fibromuscular Dysplasia
A male patient presented with cardiac arrest attributed to anterior ST-segment elevation myocardial infarction from type 1 spontaneous coronary artery dissection. Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medi...
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| Published in: | Texas Heart Institute journal 2024-05, Vol.51 (1), p.1-5 |
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| Language: | English |
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| container_end_page | 5 |
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| container_title | Texas Heart Institute journal |
| container_volume | 51 |
| creator | Schneider, Artur Gharacholou, S Michael |
| description | A male patient presented with cardiac arrest attributed to anterior ST-segment elevation myocardial infarction from type 1 spontaneous coronary artery dissection. Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medical therapy and referred to cardiac rehabilitation, showing substantial improvements in clinical status. With greater awareness and advancements in imaging, spontaneous coronary artery dissection has been more frequently recognized, and although as many as 81% to 92% of all cases occur in female patients, it can be seen among men, as well. Adjunctive imaging for arteriopathies may help establish the diagnosis for equivocal causes of acute coronary syndrome in women and men. |
| doi_str_mv | 10.14503/THIJ-23-8358 |
| format | article |
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Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medical therapy and referred to cardiac rehabilitation, showing substantial improvements in clinical status. With greater awareness and advancements in imaging, spontaneous coronary artery dissection has been more frequently recognized, and although as many as 81% to 92% of all cases occur in female patients, it can be seen among men, as well. Adjunctive imaging for arteriopathies may help establish the diagnosis for equivocal causes of acute coronary syndrome in women and men.</description><identifier>ISSN: 0730-2347</identifier><identifier>ISSN: 1526-6702</identifier><identifier>EISSN: 1526-6702</identifier><identifier>DOI: 10.14503/THIJ-23-8358</identifier><identifier>PMID: 38722191</identifier><language>eng</language><publisher>United States: Texas Heart® Institute, Houston</publisher><subject>acute coronary syndrome ; Case Reports ; Computed Tomography Angiography ; Coronary Angiography ; Coronary Vessel Anomalies - complications ; Coronary Vessel Anomalies - diagnosis ; coronary vessels ; Coronary Vessels - diagnostic imaging ; dissection, blood vessel ; Electrocardiography ; fibromuscular dysplasia ; Fibromuscular Dysplasia - complications ; Fibromuscular Dysplasia - diagnosis ; Humans ; Male ; Middle Aged ; st elevation myocardial infarction ; ST Elevation Myocardial Infarction - diagnosis ; ST Elevation Myocardial Infarction - etiology ; Vascular Diseases - congenital ; Vascular Diseases - diagnosis ; Vascular Diseases - etiology</subject><ispartof>Texas Heart Institute journal, 2024-05, Vol.51 (1), p.1-5</ispartof><rights>2024 The Authors. 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Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medical therapy and referred to cardiac rehabilitation, showing substantial improvements in clinical status. With greater awareness and advancements in imaging, spontaneous coronary artery dissection has been more frequently recognized, and although as many as 81% to 92% of all cases occur in female patients, it can be seen among men, as well. Adjunctive imaging for arteriopathies may help establish the diagnosis for equivocal causes of acute coronary syndrome in women and men.</description><subject>acute coronary syndrome</subject><subject>Case Reports</subject><subject>Computed Tomography Angiography</subject><subject>Coronary Angiography</subject><subject>Coronary Vessel Anomalies - complications</subject><subject>Coronary Vessel Anomalies - diagnosis</subject><subject>coronary vessels</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>dissection, blood vessel</subject><subject>Electrocardiography</subject><subject>fibromuscular dysplasia</subject><subject>Fibromuscular Dysplasia - complications</subject><subject>Fibromuscular Dysplasia - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>st elevation myocardial infarction</subject><subject>ST Elevation Myocardial Infarction - diagnosis</subject><subject>ST Elevation Myocardial Infarction - etiology</subject><subject>Vascular Diseases - congenital</subject><subject>Vascular Diseases - diagnosis</subject><subject>Vascular Diseases - etiology</subject><issn>0730-2347</issn><issn>1526-6702</issn><issn>1526-6702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkc1P3DAQxa2qqCy0x14rH3sJ9dhObJ8qtJSyFQikgnq0Zv0BRtl4ayeV-O8bWIrKaaR5T7_5eIR8BHYEsmXiy_XZ6kfDRaNFq9-QBbS8azrF-FuyYEqwWZJqnxzUes8YExz4O7IvtOIcDCzIzc9tHkYcQp4qXeaSBywP9LiMYS4nqdbgxpQHmgaK9AL7QK9wTGEY6a803tHTtC55M1U39VjoyUPd9lgTvid7EfsaPjzXQ3Jz-u16edacX35fLY_PGyeBjY3UXqFQUSg0HlvpAUQ04ILkBsBE3YIz3hsQHY9auk47Lr2DrmMYQ0RxSFY7rs94b7clbebtbcZknxq53FosY3J9sAqV59BJABZljBHBOb-WIXAmFQCfWV93rO203gTv5hsL9q-gr5Uh3dnb_MfORM2MbmfC52dCyb-nUEe7SdWFvt-91wrWCqO4EjBbm53VlVxrCfFlDjD7lKt9zNVyYR9znf2f_l_uxf0vSPEXMZ2fAQ</recordid><startdate>20240509</startdate><enddate>20240509</enddate><creator>Schneider, Artur</creator><creator>Gharacholou, S Michael</creator><general>Texas Heart® Institute, Houston</general><general>The Texas Heart Institute</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240509</creationdate><title>Spontaneous Coronary Artery Dissection in a Male Patient With Fibromuscular Dysplasia</title><author>Schneider, Artur ; Gharacholou, S Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-48d7a37f37a9da54d113f91ce429119f851c9dd91362f84c68c24dc1660afefa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>acute coronary syndrome</topic><topic>Case Reports</topic><topic>Computed Tomography Angiography</topic><topic>Coronary Angiography</topic><topic>Coronary Vessel Anomalies - complications</topic><topic>Coronary Vessel Anomalies - diagnosis</topic><topic>coronary vessels</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>dissection, blood vessel</topic><topic>Electrocardiography</topic><topic>fibromuscular dysplasia</topic><topic>Fibromuscular Dysplasia - complications</topic><topic>Fibromuscular Dysplasia - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>st elevation myocardial infarction</topic><topic>ST Elevation Myocardial Infarction - diagnosis</topic><topic>ST Elevation Myocardial Infarction - etiology</topic><topic>Vascular Diseases - congenital</topic><topic>Vascular Diseases - diagnosis</topic><topic>Vascular Diseases - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schneider, Artur</creatorcontrib><creatorcontrib>Gharacholou, S Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Texas Heart Institute journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schneider, Artur</au><au>Gharacholou, S Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous Coronary Artery Dissection in a Male Patient With Fibromuscular Dysplasia</atitle><jtitle>Texas Heart Institute journal</jtitle><addtitle>Tex Heart Inst J</addtitle><date>2024-05-09</date><risdate>2024</risdate><volume>51</volume><issue>1</issue><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>0730-2347</issn><issn>1526-6702</issn><eissn>1526-6702</eissn><abstract>A male patient presented with cardiac arrest attributed to anterior ST-segment elevation myocardial infarction from type 1 spontaneous coronary artery dissection. Subsequent imaging confirmed fibromuscular dysplasia in noncoronary arterial segments. The patient was started on guideline-directed medical therapy and referred to cardiac rehabilitation, showing substantial improvements in clinical status. With greater awareness and advancements in imaging, spontaneous coronary artery dissection has been more frequently recognized, and although as many as 81% to 92% of all cases occur in female patients, it can be seen among men, as well. Adjunctive imaging for arteriopathies may help establish the diagnosis for equivocal causes of acute coronary syndrome in women and men.</abstract><cop>United States</cop><pub>Texas Heart® Institute, Houston</pub><pmid>38722191</pmid><doi>10.14503/THIJ-23-8358</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0730-2347 |
| ispartof | Texas Heart Institute journal, 2024-05, Vol.51 (1), p.1-5 |
| issn | 0730-2347 1526-6702 1526-6702 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_7a7d2164110f4fffa1ccdb4ee2047112 |
| source | PubMed Central |
| subjects | acute coronary syndrome Case Reports Computed Tomography Angiography Coronary Angiography Coronary Vessel Anomalies - complications Coronary Vessel Anomalies - diagnosis coronary vessels Coronary Vessels - diagnostic imaging dissection, blood vessel Electrocardiography fibromuscular dysplasia Fibromuscular Dysplasia - complications Fibromuscular Dysplasia - diagnosis Humans Male Middle Aged st elevation myocardial infarction ST Elevation Myocardial Infarction - diagnosis ST Elevation Myocardial Infarction - etiology Vascular Diseases - congenital Vascular Diseases - diagnosis Vascular Diseases - etiology |
| title | Spontaneous Coronary Artery Dissection in a Male Patient With Fibromuscular Dysplasia |
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