Unmasking the Silent Intruder: A Case of Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection continues to pose a diagnostic dilemma in the evaluation of patients with chest pain. Our case discusses its manifestation in a male patient who visited the emergency department complaining of recent-onset chest pain. Evaluation of his chest pain through corona...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-07, Vol.15 (7)
Main Authors: Agwuegbo, Chibuike C, Ahmed, Eman N, Moideen Sheriff, Serin, Olumuyide, Emmanuel O, Waduge, Sahani A
Format: Article
Language:English
Subjects:
Abdomen
Acute coronary syndromes
Anatomy
Aspirin
Atherosclerosis
Cardiology
Case reports
Cholesterol
Coronary vessels
Dissection
Electrocardiography
Heart attacks
Heart surgery
High density lipoprotein
Internal Medicine
Intubation
Lipoproteins
Medical diagnosis
Medical imaging
Pain
Patients
Risk factors
Tomography
Ultrasonic imaging
Veins & arteries
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Summary:Spontaneous coronary artery dissection continues to pose a diagnostic dilemma in the evaluation of patients with chest pain. Our case discusses its manifestation in a male patient who visited the emergency department complaining of recent-onset chest pain. Evaluation of his chest pain through coronary angiography revealed luminal radiolucency corresponding to type 1 spontaneous coronary artery dissection (SCAD). The patient was promptly managed using medical interventions until stability was achieved and referred to cardiac rehabilitation care with close follow-up. In our literary contribution, we present a fascinating diagnosis, potentially life-threatening, observed in an otherwise active and healthy male patient. Notably, this diagnosis is uncommon in the male population. Through this study, we aimed to shed light on understanding, awareness, and clinical recognition of SCAD, ultimately improving patient care and outcomes.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.41934