Key result
Spontaneous coronary artery dissection in a middle-aged man presented as fast atrial fibrillation with hemodynamic compromise, leading to fatal cardiac tamponade from a ruptured left circumflex artery.
Case Report (n=1)
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Spontaneous coronary artery dissection can present atypically as fast atrial fibrillation with hemodynamic compromise and can be fatal if undiagnosed.
Spontaneous coronary artery dissection is rare. When it does occur, it can present in a myriad of ways and can mimic more common clinical scenarios. Undiagnosed it can be fatal. In this article, the authors present a case of coronary artery dissection in a middle aged man presenting as fast atrial fibrillation with hemodynamic compromise. He was unsuccessfully cardioverted and later arrested and died. Postmortem showed a ruptured dissection of the left circumflex artery causing cardiac tamponade and death. Incidence, associations, pathophysiology, investigations, and treatment options are reviewed.
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Hayes et al. (2007) conducted a case report in Spontaneous coronary artery dissection (n=1). Spontaneous coronary artery dissection in a middle-aged man presented as fast atrial fibrillation with hemodynamic compromise, leading to fatal cardiac tamponade from a ruptured left circumflex artery.
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