The Shearing Stress of Baseball-Spontaneous Coronary Artery Dissection in a Male Athlete

Division

East Florida

Hospital

Kendall Regional Medical Center

Document Type

Case Report

Publication Date

8-6-2020

Keywords

Catecholamine surge, Shearing stress, Tapering

Disciplines

Cardiology | Cardiovascular Diseases | Emergency Medicine

Abstract

The following is a case report of an atypical presentation of spontaneous coronary artery disease. In this case, a male with risk factors, precipitated by an emotional stress, presented to the emergency room with atypical chest pain. Cardiac catheterization revealed tapering of the mid-left anterior descending artery, consistent with non-atherosclerotic spontaneous coronary artery disease. However due to repeat chest pain, a repeat cardiac catheterization was performed, revealing 100% occlusion of the mid-LAD. This case represents an atypical presentation of a pathology that is frequently missed, and underreported. This is important to discuss in order to increase awareness, as the management and follow up are actually conservative.

Publisher or Conference

Annales de Cardiologie et d'Angéiologie

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