Multivessel spontaneous coronary artery dissection in an unlikely patient.

Waqas Jehangir,Abdalla Yousif,Tarek Aly,Kebir H Bedran,Mark L Niemiera

doi:10.1155/2015/167243

Abstract

When approaching the symptom of acute onset chest pain in a previously healthy 26-year-old male, anchoring heuristic presents a challenge to healthcare workers. This diagnostic error is the healthcare professional's tendency to rely on a previous diagnosis, and, in situations where a set of symptoms might mask a rare and deadly condition, this error can prove fatal for the patient. One such condition, Spontaneous Coronary Artery Dissection (SCAD), is an uncommon and malefic presentation of coronary artery disease that can lead to myocardial infarction and sudden death. We present a case of SCAD in an otherwise healthy 26 year-old male who had been experiencing chest pain during and after sports activity. In the young, athletic male with SCAD, the danger of diagnostic error was a reality due to the broad symptomatology and the betraying demographics.

Highlights

Spontaneous Coronary Artery Dissection is a deadly and rare presentation of coronary artery disease that can lead to myocardial infarction and sudden death
Spontaneous Coronary Artery Dissection (SCAD) is a rare condition that can lead to myocardial infarction, cardiogenic shock, and sudden death
SCAD is often seen in the absence

Summary

Introduction

Spontaneous Coronary Artery Dissection is a deadly and rare presentation of coronary artery disease that can lead to myocardial infarction and sudden death. As it is uncommon in young males, the recognition of SCAD in such an individual given nonspecific symptoms can mask the diagnosis at a stage where timely intervention could be lifesaving

Case Presentation

Findings

Discussion