Type I Spontaneous Coronary Artery Dissection in a 33-Year-Old Male With Clinically Suspected Myopericarditis.

Division

West Florida

Hospital

Brandon Regional Hospital

Document Type

Abstract

Publication Date

5-5-2023

Keywords

acute myopericarditis, atypical spontaneous coronary artery dissection, idiopathic pericarditis, intravascular ultrasound (ivus), left anterior descending artery (lad), left heart catheterization, spodick's sign, spontaneous coronary dissection, st elevations, type ii diabetes

Disciplines

Cardiovascular Diseases | Internal Medicine

Abstract

We report a 33-year-old male with uncontrolled type II diabetes, and tobacco and marijuana use who presented with chest pain after a night of binge drinking and vomiting. ECG changes were consistent with acute pericarditis. Troponin levels were found to be significantly elevated and rising. The patient was immediately treated with acetylsalicylic acid (ASA), morphine, nitroglycerin drip, and heparin drip. Echocardiogram showed preserved ejection fraction (EF) without effusion. Coronary angiography demonstrated a type I spontaneous coronary artery dissection (SCAD) of the mid-left anterior descending artery (LAD) without significant coronary artery disease. Diagnostic intravenous ultrasound (IVUS) confirmed a type I SCAD with penumbra and a minimal luminal area of 10 mm

Publisher or Conference

Cureus

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