Key result
Medical treatment successfully healed a spontaneous coronary artery dissection presenting as STEMI, with serial imaging confirming resolution of the intramural hematoma at 6 months.
Why the study?
Can medical treatment successfully heal spontaneous coronary artery dissection presenting as STEMI?
Case Report (n=1)
No
Can medical treatment successfully heal spontaneous coronary artery dissection presenting as STEMI?
Medical therapy can be a successful treatment strategy for spontaneous coronary artery dissection presenting as STEMI, with healing demonstrable on serial multimodality imaging.
Medical therapy succeeded in this SCAD-STEMI case; leaves open optimal management pending randomized trials.
Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome which may be related to lethal condition. Although several modalities including medical therapy have been suggested, agreement on optimal treatment has not yet been determined. We describe a case of SCAD which was presented as ST-segment elevation myocardial infarction, and treated successfully with medical treatment. Coronary angiography, intravascular ultrasound and multi-detector computed tomography showed the serial changes of this disease entity.
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Koh et al. (2011) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Medical treatment (aspirin, clopidogrel, bisoprolol, valsartan, diltiazem) was evaluated on Resolution of intramural hematoma and vessel healing. Medical treatment successfully healed a spontaneous coronary artery dissection presenting as STEMI, with serial imaging confirming resolution of the intramural hematoma at 6 months.
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