2006
DOI: 10.2459/01.jcm.0000199791.24855.e0
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Spontaneous coronary artery dissection after heavy lifting in a 25-year-old man with coronary risk factors

Abstract: Spontaneous coronary artery dissection (SCAD) is a clinical condition rarely leading to acute myocardial infarction (AMI). We report the case of SCAD presenting AMI in a 25-year-old man with coronary risk factors after strenuous exercise, who was successfully treated with systemic thrombolysis. Coronary angiography revealed spiral dissection of the proximal part of the left anterior descending artery. The present case supports the occurrence of SCAD as a cause of AMI in young male patients who have coronary ri… Show more

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Cited by 9 publications
(9 citation statements)
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“…Nine of these patients were male and the mean age at the time of dissection was 36 years of age ranging from 17 to 53 years. The risk factors each patient had were analyzed; 30.7% were smokers, 30% had high cholesterol and 15.3% had a family history of ischemic heart disease [1,[3][4][5][6][7][8][9][10][11][12]. Obesity was identified as a further risk factor in one of these patients [5].…”
Section: Discussionmentioning
confidence: 99%
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“…Nine of these patients were male and the mean age at the time of dissection was 36 years of age ranging from 17 to 53 years. The risk factors each patient had were analyzed; 30.7% were smokers, 30% had high cholesterol and 15.3% had a family history of ischemic heart disease [1,[3][4][5][6][7][8][9][10][11][12]. Obesity was identified as a further risk factor in one of these patients [5].…”
Section: Discussionmentioning
confidence: 99%
“…From literature reviewed, seven cases (53.8%) were associated with aerobic activity and five cases (38.4%) were associated with anaerobic activity disease [1,[3][4][5][6][7][8][9][10][11][12]. One further case that was found was associated with severe emotional distress and anxiety [3].…”
Section: Discussionmentioning
confidence: 99%
“…Accumulated blood in the false lumen can encroach on the true lumen, thereby impairing blood flow and causing myocardial ischemia, MI, or sudden cardiac death. [1][2][3][4][5] Since the first description of SCAD, 6 approximately 320 documented cases have been reported. This figure might be misleading, because many of the reports were Case Reports…”
mentioning
confidence: 99%
“…[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Common to all 3 categories are poor conditioning or technique, inadequate strength or endurance, improperly selected resistance, insufficient warm-up or stretching, loss of balance, and fatigue. 2 Musculoskeletal ailments are reported frequently.…”
mentioning
confidence: 99%
“…Noteworthy neurologic effects, such as subarachnoid hemorrhage, 4 brain stem dysfunction, 5 and acute paraplegia, 1,12 are apparently rare. Among the cardiovascular sequelae, aortic dissection receives substantial attention [8][9][10][11][12] ; the internal carotid artery, [13][14][15][16] coronary arteries, [17][18][19] and celiac artery 20 can also dissect. In addition, implanted pacemaker leads can fracture.…”
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confidence: 99%