Key result
A young woman taking low-dose oral contraceptives presented with acute non-ST segment elevation myocardial infarction due to spontaneous coronary artery dissection with superimposed thrombosis.
Why the study?
SCAD is an infrequent cause of ACS with an underestimated incidence due to diagnostic difficulty and insensitivity of coronary angiography in assessing arterial wall structure.
Case Report (n=1)
Highlights a potential association between low-dose oral contraceptives and spontaneous coronary artery dissection with heavy clot burden in a young nonpregnant woman.
Answers are grounded in this paper and cite their sources.
Alerts to SCAD risk in young women on low-dose oral contraceptives with ACS; leaves open causal association for prospective confirmation.
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS) caused by a nontraumatic tear in the coronary artery wall. The true incidence is thought to be underestimated owing to its diagnostic difficulty as coronary angiography is insensitive in assessing the arterial wall structure, thereby warranting additional diagnostic modalities such as intravascular ultrasound. We report a case of a young woman who had been taking oral contraceptives, and presented with acute non-ST segment elevation myocardial infarction due to SCAD with superimposed thrombosis.
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Rio‐Pertuz et al. (2022) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Low-Dose Oral Contraceptives was evaluated. A young woman taking low-dose oral contraceptives presented with acute non-ST segment elevation myocardial infarction due to spontaneous coronary artery dissection with superimposed thrombosis.
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