Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman

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 t...

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Main Authors: Gaspar Del Rio-Pertuz MD, Juthipong Benjanuwattra MD, Saif El Nawaa MD, Ankush Lahoti MD, Scott Shurmur MD
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096221104466
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author Gaspar Del Rio-Pertuz MD
Juthipong Benjanuwattra MD
Saif El Nawaa MD
Ankush Lahoti MD
Scott Shurmur MD
author_facet Gaspar Del Rio-Pertuz MD
Juthipong Benjanuwattra MD
Saif El Nawaa MD
Ankush Lahoti MD
Scott Shurmur MD
author_sort Gaspar Del Rio-Pertuz MD
collection DOAJ
description 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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spelling doaj.art-4a3afb78a5624f97b9b70b051bdd3a572022-12-22T00:23:23ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962022-06-011010.1177/23247096221104466Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant WomanGaspar Del Rio-Pertuz MD0Juthipong Benjanuwattra MD1Saif El Nawaa MD2Ankush Lahoti MD3Scott Shurmur MD4Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USADepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USADivision of Cardiology, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USADivision of Cardiology, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USADivision of Cardiology, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USASpontaneous 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.https://doi.org/10.1177/23247096221104466
spellingShingle Gaspar Del Rio-Pertuz MD
Juthipong Benjanuwattra MD
Saif El Nawaa MD
Ankush Lahoti MD
Scott Shurmur MD
Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman
Journal of Investigative Medicine High Impact Case Reports
title Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman
title_full Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman
title_fullStr Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman
title_full_unstemmed Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman
title_short Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman
title_sort low dose oral contraceptives and spontaneous coronary artery dissection with heavy clot burden in a nonpregnant woman
url https://doi.org/10.1177/23247096221104466
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