Spontaneous Coronary Artery Dissection in a Liver Transplantation Candidate.

MedStar author(s):
Citation: Missouri Medicine. 117(1):70-72, 2020 Jan-Feb.PMID: 32158054Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Coronary Vessel Anomalies/dg [Diagnostic Imaging] | *Coronary Vessel Anomalies/su [Surgery] | *Liver Transplantation | *Vascular Diseases/cn [Congenital] | Coronary Angiography | Female | Humans | Middle Aged | Risk Factors | Vascular Diseases/dg [Diagnostic Imaging] | Vascular Diseases/su [Surgery]Year: 2020ISSN:
  • 0026-6620
Name of journal: Missouri medicineAbstract: Spontaneous coronary artery dissection (SCAD) is an uncommon and potentially fatal cause of acute coronary syndrome, myocardial infarction, and sudden death primarily affecting women. While the exact cause of SCAD is unknown, associated risk factors are emotional or physical stress, female gender, pregnancy-related factors including hormonal changes, fibromuscular dysplasia, mixed connective tissue disorders, and inflammatory disorders. In this report, we present a middle-aged female with ulcerative colitis and cirrhosis secondary to primary sclerosing cholangitis who was found to have SCAD on cardiac evaluation for liver transplantation workup. Copyright 2020 by the Missouri State Medical Association.All authors: Hassanieh I, Helmy T, Khalid N, Lim M, Oman ZOriginally published: Missouri Medicine. 117(1):70-72, 2020 Jan-Feb.Fiscal year: FY2020Date added to catalog: 2020-07-09
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Journal Article MedStar Authors Catalog Article 32158054 Available 32158054

Spontaneous coronary artery dissection (SCAD) is an uncommon and potentially fatal cause of acute coronary syndrome, myocardial infarction, and sudden death primarily affecting women. While the exact cause of SCAD is unknown, associated risk factors are emotional or physical stress, female gender, pregnancy-related factors including hormonal changes, fibromuscular dysplasia, mixed connective tissue disorders, and inflammatory disorders. In this report, we present a middle-aged female with ulcerative colitis and cirrhosis secondary to primary sclerosing cholangitis who was found to have SCAD on cardiac evaluation for liver transplantation workup. Copyright 2020 by the Missouri State Medical Association.

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