SCAD can occur as a cause of AMI in young male patients with coronary risk factors after heavy lifting and can be successfully treated with systemic thrombolysis.
Thrombolysis may be feasible in SCAD-AMI; single case leaves open its role pending prospective validation.
Spontaneous coronary artery dissection (SCAD) is a clinical condition rarely leading to acute myocardial infarction (AMI). We report the case of SCAD presenting AMI in a 25-year-old man with coronary risk factors after strenuous exercise, who was successfully treated with systemic thrombolysis. Coronary angiography revealed spiral dissection of the proximal part of the left anterior descending artery. The present case supports the occurrence of SCAD as a cause of AMI in young male patients who have coronary risk factors, after heavy lifting.
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Kürüm et al. (2006) studied this question.
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