When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female
Spontaneous coronary artery dissection is a poorly understood phenomenon that usually affects women during pregnancy or the immediate post-partum period. We present the case of a 60-year-old female with chronic obstructive pulmonary disease who presented with vague complaints of shortness of breath,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2016-10-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/32625/pdf_221 |
| _version_ | 1797970285991821312 |
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| author | Yenal Harper Manyoo Agarwal Krishna Gannamraj Sneha Parmar Inyong Hwang Shadwan Alsafwah |
| author_facet | Yenal Harper Manyoo Agarwal Krishna Gannamraj Sneha Parmar Inyong Hwang Shadwan Alsafwah |
| author_sort | Yenal Harper |
| collection | DOAJ |
| description | Spontaneous coronary artery dissection is a poorly understood phenomenon that usually affects women during pregnancy or the immediate post-partum period. We present the case of a 60-year-old female with chronic obstructive pulmonary disease who presented with vague complaints of shortness of breath, dizziness, and weakness with a mildly elevated troponin. She denied any anginal symptoms. As part of her initial workup, a nuclear stress test revealed inferior wall reversible changes. Coronary angiography revealed spontaneous right coronary artery dissection which was treated with a drug-eluting stent. |
| first_indexed | 2024-04-11T03:15:33Z |
| format | Article |
| id | doaj.art-fbade98bc7ca4c7e81b1a83d8952a0bc |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:15:33Z |
| publishDate | 2016-10-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-fbade98bc7ca4c7e81b1a83d8952a0bc2023-01-02T10:39:49ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-10-01651310.3402/jchimp.v6.3262532625When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old femaleYenal Harper0Manyoo Agarwal1Krishna Gannamraj2Sneha Parmar3Inyong Hwang4Shadwan Alsafwah5 Division of Cardiovascular Medicine, University of Tennessee Health Science Center, Memphis, TN, USA Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN, USA Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN, USA Division of Cardiovascular Medicine, Mount Sinai Hospital, Chicago, IL, USA Division of Cardiovascular Medicine, University of Tennessee Health Science Center, Memphis, TN, USA Division of Cardiovascular Medicine, University of Tennessee Health Science Center, Memphis, TN, USASpontaneous coronary artery dissection is a poorly understood phenomenon that usually affects women during pregnancy or the immediate post-partum period. We present the case of a 60-year-old female with chronic obstructive pulmonary disease who presented with vague complaints of shortness of breath, dizziness, and weakness with a mildly elevated troponin. She denied any anginal symptoms. As part of her initial workup, a nuclear stress test revealed inferior wall reversible changes. Coronary angiography revealed spontaneous right coronary artery dissection which was treated with a drug-eluting stent.http://www.jchimp.net/index.php/jchimp/article/view/32625/pdf_221dissectioncoronaryangiography |
| spellingShingle | Yenal Harper Manyoo Agarwal Krishna Gannamraj Sneha Parmar Inyong Hwang Shadwan Alsafwah When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female Journal of Community Hospital Internal Medicine Perspectives dissection coronary angiography |
| title | When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female |
| title_full | When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female |
| title_fullStr | When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female |
| title_full_unstemmed | When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female |
| title_short | When life-threatening conditions appear clinically silent: an atypical presentation of spontaneous coronary artery dissection in a 60-year-old female |
| title_sort | when life threatening conditions appear clinically silent an atypical presentation of spontaneous coronary artery dissection in a 60 year old female |
| topic | dissection coronary angiography |
| url | http://www.jchimp.net/index.php/jchimp/article/view/32625/pdf_221 |
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