Key result
A 40-year-old male presenting with acute coronary syndrome due to spontaneous coronary artery dissection was successfully treated with conservative medical management and remained symptom-free at 24 weeks.
Case Report (n=1)
Conservative medical management was successful in treating a 40-year-old male with spontaneous coronary artery dissection presenting as STEMI with preserved distal flow.
May support conservative management in select SCAD; hypothesis-generating and should not change practice.
Spontaneous coronary artery dissection is an extremely rare cause of acute coronary syndrome. Although it predominantly affects young women in the peripartum period, it can also occur in men. The left coronary artery is most frequently involved. The usual presentation is ST segment elevation myocardial infarction. Although several treatment modalities have been proposed, the optimal treatment options still remain to be established. This current case report focuses on a 40- year-old male presented with acute coronary syndrome and subsequently was found to have coronary artery dissection. DOI: http://dx.doi.org/10.3329/jemc.v5i1.21498 J Enam Med Col 2015; 5(1): 52-57
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Khan et al. (2015) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Conservative medical management was evaluated on Clinical symptom resolution and ECG normalization. A 40-year-old male presenting with acute coronary syndrome due to spontaneous coronary artery dissection was successfully treated with conservative medical management and remained symptom-free at 24 weeks.
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