Type I Spontaneous Coronary Artery Dissection in a 33-Year-Old Male With Clinically Suspected Myopericarditis.
Brandon Regional Hospital
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
Cardiovascular Diseases | Internal Medicine
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
Nisson C, Hernandez Mato Y, Lingappa N, Abraham J. Type I Spontaneous Coronary Artery Dissection in a 33-Year-Old Male With Clinically Suspected Myopericarditis. Cureus. 2023;15(5):e38570. Published 2023 May 5. doi:10.7759/cureus.38570