Spontaneous Coronary Dissection Masquerading as Benign Fascicular Ventricular Tachycardia

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 cardia...

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Published inHeart, 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
LanguageEnglish
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
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Abstract 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.
AbstractList 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.
Author Ho, Sara Wei-Fen, MBBS, MRCP (UK)
Chan, Koo Hui, BM, MRCP (UK), MD
Lin, Weiqin, MBBS, MRCP (UK), MMed (Int Med)
Seow, Swee-Chong, MBBS, MCRP (UK), FAMS, FESC, FACC
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  fullname: Seow, Swee-Chong, MBBS, MCRP (UK), FAMS, FESC, FACC
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Cites_doi 10.1002/ccd.22115
10.1161/CIRCULATIONAHA.112.105718
10.1161/CIRCINTERVENTIONS.111.966630
10.1053/j.jvca.2005.07.021
10.1016/0002-8703(94)90060-4
10.1016/S1054-8807(01)00074-6
10.1136/hrt.2008.162073
10.1016/j.ejcts.2008.10.023
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Copyright Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)
2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)
Copyright © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
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Keywords Ventricular tachycardia
Percutaneous coronary intervention
Spontaneous coronary artery dissection
Intravascular ultrasound
Electrocardiogram
Language English
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Snippet Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome. Diagnosis of coronary artery dissection is made on coronary angiogram...
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SubjectTerms 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
Title Spontaneous Coronary Dissection Masquerading as Benign Fascicular Ventricular Tachycardia
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https://dx.doi.org/10.1016/j.hlc.2015.08.013
https://www.ncbi.nlm.nih.gov/pubmed/26475648
https://search.proquest.com/docview/1750000169
Volume 25
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