Conservative drug therapy with ACE inhibitors, beta-blockers, and aspirin was prescribed for a 33-year-old patient with extensive spontaneous coronary artery dissection.
Case Report (n=1)
No
This case report illustrates the conservative medical management of extensive spontaneous coronary artery dissection in a stable young patient.
Today, cardiovascular diseases continue to be one of the most pressing medical issues worldwide. Spontaneous coronary artery dissection is a fairly rare cause of acute coronary syndrome that is not associated with atherosclerotic plaque. The relevance of studying this condition is associated with high mortality in the acute period: about 50% of patients die suddenly without receiving medical attention. Clinical precursors of repeated spontaneous coronary artery dissection have not been identified. The clinical observation describes the case of 33-year-old patient who was admitted to the Republican Clinical Multidisciplinary Center for High Medical Technologies in Nalchik for diagnostic coronary angiography. Previously, the patient was observed by a vascular surgeon with a diagnosis of obliterating endarteritis of the lower extremities, as well as with echocardiography, a previous myocardial infarction was detected. At the time of the examination, there were no angina attacks or heart failure symptoms. Coronary angiography revealed extensive dissection of various segments of the anterior descending artery, the diagonal branch, the circumflex artery, and the obtuse edge branch. Taking into account the clinical and anamnestic data and the results of angiography, it was decided to refrain from coronary artery angioplasty and coronary artery bypass grafting. Drug therapy with angiotensin-converting enzyme inhibitors, β-blockers and acetylsalicylic acid was prescribed, since revascularization is indicated for high-risk patients.
Bapinaev et al. (Wed,) conducted a case report in Spontaneous coronary artery dissection (n=1). Conservative drug therapy (ACE inhibitors, β-blockers, acetylsalicylic acid) was evaluated. Conservative drug therapy with ACE inhibitors, beta-blockers, and aspirin was prescribed for a 33-year-old patient with extensive spontaneous coronary artery dissection.