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Spontaneous multivessel coronary artery dissection associated with elevated homocysteine levels
Syed Muhammad Najaf1, Ata-Ur- Rehman Quraishi, Khawar Abbas Kazmi
1Department of Medicine, Section of Cardiology, The Aga Khan University, Karachi-74800. najaf.nadeem@aku.edu
None:
A case of spontaneous multi-vessel coronary artery dissection in a young man, with markedly elevated serum homocysteine levels, is reported. The effects of elevated homocysteine levels on arterial endothelial function and possible plaque rupture leading to coronary dissection and acute coronary syndrome and / or sudden cardiac death are also discussed.
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