Abstract
Half of the global population over 20 years of age will be affected by cardiovascular disease. Cardiovascular events in young people is challenging. Spontaneous coronary artery dissection is a non-traumatic and non-iatrogenic separation of the coronary arterial wall and is an uncommon and underdiagnosed cause of acute myocardial infarction predominately found in young women. Medical management has been more widely accepted, with percutaneous and surgery treatment reserved for precise indications. Optimal control of individual risk factors is essential in [...]
Highlights
Total cardiovascular disease globally affects up to 48% of all adults over 20 years of age, a trend that is increasing in prevalence and mortality, especially in countries of low resources, characterized by a high prevalence of comorbidities.[1]
The incidence of acute myocardial infarction has remained stable over the years, despite international strategies that aim to control risk factors
Spontaneous coronary artery dissection (SCAD) is the cause of 1-4% of all cases of acute coronary syndrome (ACS), the vast majority of which appear in women without pregnancy-related conditions
Summary
Total cardiovascular disease (coronary heart disease, heart failure, cerebrovascular disease, and systemic arterial hypertension ) globally affects up to 48% of all adults over 20 years of age, a trend that is increasing in prevalence and mortality, especially in countries of low resources, characterized by a high prevalence of comorbidities.[1]. This study reports on a case of a 44-year-old female patient with a history of a hypertensive disorder associated with pregnancy. She required temporary antihypertensive treatment, which was subsequently discontinued. Years later, she received medical care due to chest pain, documenting a coronary dissection of the marginal obtuse. Mora et al Spontaneous coronary artery dissection outpatient follow-up She was admitted to the emergency room, reporting 48 hours of a non-irradiated oppressive chest pain, whcih intensified with effort and partially decreased at rest, associated with decreased functional class NYHA I to NYHA III. At the six-month follow-up appointment, the patient had completely recovered her functional status, with improvement in left ventricular function and complete resolution of segmental contractility defect
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