Abstract
A 51-year old female with a history of multiple sclerosis presented to the emergency department with hypotension and fatigue. She was found to be in cardiogenic shock. Her initial EKG was concerning for STEMI and her troponin was positive. She was eventually diagnosed with spontaneous coronary artery dissection. This case report discusses her presentation, management, and clinical course. We emphasize the need for emergency medicine physicians to be concerned for SCAD, especially in women with a history of fibromuscular dysplasia, connective tissue disorders, or peri-partum status.
Highlights
A 51-year old female with a history of multiple sclerosis presented to the emergency department with hypotension and fatigue
We emphasize the need for emergency medicine physicians to be concerned for spontaneous coronary artery dissection (SCAD), especially in women with a history of fibromuscular dysplasia, connective tissue disorders, or peri-partum status
A 51-year old female with history of advanced multiple sclerosis presented to the Emergency Department with nausea, chills, fatigue and sensation of neck stiffness
Summary
A 51-year old female with a history of multiple sclerosis presented to the emergency department with hypotension and fatigue. We emphasize the need for emergency medicine physicians to be concerned for SCAD, especially in women with a history of fibromuscular dysplasia, connective tissue disorders, or peri-partum status. A 51-year old female with history of advanced multiple sclerosis presented to the Emergency Department with nausea, chills, fatigue and sensation of neck stiffness.
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