Articles producció científica> Medicina i Cirurgia

A Case of an Elderly Patient With Recurrent Spontaneous Coronary Artery Dissection

  • Identification data

    Identifier: imarina:9351781
    Handle: https://hdl.handle.net/20.500.11797/imarina9351781
    Authors:
    Miranda, HRGAlegret, JMValdovinos, PTajes, H
    Abstract:
    Spontaneous coronary artery dissection (SCAD) is an underdiagnosed cause of myocardial infarction (MI), and its prevalence among women is increasing. Epidemiological information indicates that SCAD is responsible for one-third of Ml cases in women of reproductive age. Little information is described on SCAD in elderly patients. The patient in the case presented here was an 81-year-old woman with a history of SCAD who presented with oppressive thoracic chest pain associated with electrical changes that derailed into ventricular fibrillation. Coronary angiography confirmed a SCAD recurrence, and conservative medical treatment was established. Different pathophysiological pathways have been proposed for SCAD extension or recurrence. Nonetheless, there is yet much to be discovered about this disease and its presentation in different age groups.

  • Others:

    Author, as appears in the article.: Miranda, HRG; Alegret, JM; Valdovinos, P; Tajes, H
    Department: Medicina i Cirurgia
    URV's Author/s: Alegret Colomé, Josep Maria / Tajes Pascual, Hernan Eduardo / Valdovinos Perdices, Maria del Pilar
    Keywords: Spontaneous coronary artery dissection Recurrent spontaneous coronary artery dissection Fibromuscular dysplasia Elderly patients Case report
    Abstract: Spontaneous coronary artery dissection (SCAD) is an underdiagnosed cause of myocardial infarction (MI), and its prevalence among women is increasing. Epidemiological information indicates that SCAD is responsible for one-third of Ml cases in women of reproductive age. Little information is described on SCAD in elderly patients. The patient in the case presented here was an 81-year-old woman with a history of SCAD who presented with oppressive thoracic chest pain associated with electrical changes that derailed into ventricular fibrillation. Coronary angiography confirmed a SCAD recurrence, and conservative medical treatment was established. Different pathophysiological pathways have been proposed for SCAD extension or recurrence. Nonetheless, there is yet much to be discovered about this disease and its presentation in different age groups.
    Thematic Areas: Medicine, general & internal Medicina i Ciências biológicas ii Ciências biológicas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: hernaneduardo.tajes@urv.cat mariadelpilar.valdovinos@urv.cat josepmaria.alegret@urv.cat
    Author identifier: 0000-0002-6117-5512
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.cureus.com/articles/90882-a-case-of-an-elderly-patient-with-recurrent-spontaneous-coronary-artery-dissection#!/
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Cureus. 14 (3):
    APA: Miranda, HRG; Alegret, JM; Valdovinos, P; Tajes, H (2022). A Case of an Elderly Patient With Recurrent Spontaneous Coronary Artery Dissection. Cureus, 14(3), -. DOI: 10.7759/cureus.23633
    Article's DOI: 10.7759/cureus.23633
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications

  • Keywords:

    Medicine, General & Internal
    Spontaneous coronary artery dissection
    Recurrent spontaneous coronary artery dissection
    Fibromuscular dysplasia
    Elderly patients
    Case report
    Medicine, general & internal
    Medicina i
    Ciências biológicas ii
    Ciências biológicas i

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