Key result
A 26-year-old man with spontaneous coronary artery dissection presented unusually with an ischemic stroke and was successfully managed with conservative medical therapy.
Case Report (n=1)
No
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Spontaneous coronary artery dissection is a rare condition that can present atypically as an ischemic stroke, and conservative medical management can be a viable strategy in cases with preserved distal coronary flow.
Spontaneous coronary artery dissection (SCAD) is an unusual cause of acute coronary syndrome or sudden cardiac death. SCAD has most frequently been described as presenting as an acute coronary syndrome in females during the peripartum period. It may also be associated with autoimmune and collagen vascular diseases, Marfan's syndrome, chest trauma, and intense physical exercise. The most common presentation of SCAD is the acute onset of severe chest pain associated with autonomic symptoms. This condition has a high mortality rate if not identified and treated promptly. Here, we present a case of SCAD presenting with stroke, followed by a brief review.
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Biswas et al. (2012) conducted a case report in Spontaneous coronary artery dissection (n=1). Medical management (thrombolysis, anticoagulation, antiplatelets) was evaluated. A 26-year-old man with spontaneous coronary artery dissection presented unusually with an ischemic stroke and was successfully managed with conservative medical therapy.
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