Spontaneous Coronary Dissection Masquerading as Benign Fascicular Ventricular Tachycardia

• Published in: Heart, lung & circulation Vol. 25; no. 1; pp. e9 - e11
• Main Authors: Ho, Sara Wei-Fen, MBBS, MRCP (UK), Lin, Weiqin, MBBS, MRCP (UK), MMed (Int Med), Chan, Koo Hui, BM, MRCP (UK), MD, Seow, Swee-Chong, MBBS, MCRP (UK), FAMS, FESC, FACC
• Format: Journal Article
• Language: English
• Published: Australia Elsevier B.V 01.01.2016
• Subjects: Adult; Cardiovascular; Coronary Angiography; Coronary Vessel Anomalies - diagnostic imaging; Coronary Vessel Anomalies - surgery; Diagnosis, Differential; Electrocardiogram; Female; Humans; Intravascular ultrasound; Percutaneous coronary intervention; Spontaneous coronary artery dissection; Tachycardia, Ventricular - diagnostic imaging; Tachycardia, Ventricular - surgery; Vascular Diseases - congenital; Vascular Diseases - diagnostic imaging; Vascular Diseases - surgery; Ventricular tachycardia; Ventricular tachycardia; Percutaneous coronary intervention; Spontaneous coronary artery dissection; Intravascular ultrasound; Electrocardiogram
• ISSN: 1443-9506; 1444-2892
• DOI: 10.1016/j.hlc.2015.08.013

Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome. Diagnosis of coronary artery dissection is made on coronary angiogram and prompt revascularisation is the key in management. We present a case of coronary artery dissection with an atypical presentation of cardiac arrhythmia mimicking benign fascicular ventricular tachycardia. A high index of suspicion and early coronary angiogram allowed us to diagnose and treat this potentially life-threatening disease.