Spontaneous Coronary Dissection Masquerading as Benign Fascicular Ventricular Tachycardia

Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome. Diagnosis of coronary artery dissection is made on coronary angiogram and prompt revascularisation is the key in management. We present a case of coronary artery dissection with an atypical presentation of cardia...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2016-01, Vol.25 (1), p.e9-e11
Main Authors: Ho, Sara Wei-Fen, MBBS, MRCP (UK), Lin, Weiqin, MBBS, MRCP (UK), MMed (Int Med), Chan, Koo Hui, BM, MRCP (UK), MD, Seow, Swee-Chong, MBBS, MCRP (UK), FAMS, FESC, FACC
Format: Article
Language:English
Subjects:
Adult
Cardiovascular
Coronary Angiography
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - surgery
Diagnosis, Differential
Electrocardiogram
Female
Humans
Intravascular ultrasound
Percutaneous coronary intervention
Spontaneous coronary artery dissection
Tachycardia, Ventricular - diagnostic imaging
Tachycardia, Ventricular - surgery
Vascular Diseases - congenital
Vascular Diseases - diagnostic imaging
Vascular Diseases - surgery
Ventricular tachycardia
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Summary:Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome. Diagnosis of coronary artery dissection is made on coronary angiogram and prompt revascularisation is the key in management. We present a case of coronary artery dissection with an atypical presentation of cardiac arrhythmia mimicking benign fascicular ventricular tachycardia. A high index of suspicion and early coronary angiogram allowed us to diagnose and treat this potentially life-threatening disease.
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2015.08.013