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,...

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Bibliographic Details
Published inJournal of Community Hospital Internal Medicine Perspectives Vol. 6; no. 5
Main Authors Harper, Yenal, Agarwal, Manyoo, Gannamraj, Krishna, Parmar, Sneha, Hwang, Inyong, Alsafwah, Shadwan
Format Report
LanguageEnglish
Published Taylor & Francis 01.01.2016
Subjects
angiography
coronary
dissection
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Summary: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.
ISSN:2000-9666
DOI:10.3402/jchimp.v6.32625