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This case report suggests a potential association between spontaneous coronary artery dissection and the pre-menstrual phase of the menstrual cycle in women without traditional cardiac risk factors.
Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction. It is known to occur in young women in the peripartum period. The exact aetiology is unknown. This report describes a 46 year old pre-menopausal woman without cardiac risk factors presenting with acute inferior myocardial infarction and SCAD angiographically. She was noted to be at the end of her menstrual cycle. We believe that her SCAD was directly related to the phase of menstrual cycle she was in.
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Ghosh et al. (2010) studied this question.
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