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Unusual Presentation of Post-coital Spontaneous Coronary Artery Dissection

Iyad Farouji1, Omar Al-Radideh2, Hossam Abed1

  • 1Internal Medicine, Saint Michael's Medical Center, Newark, USA.

Cureus
|September 30, 2021
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a rare condition in males. This case report details SCAD occurring after sexual intercourse, highlighting a potential trigger for this serious cardiovascular event.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) involves separation of the coronary artery wall layers.
  • SCAD is a rare cause of acute coronary syndrome, particularly in men.
  • Cardiovascular stress, including exercise and emotional stress, can precipitate SCAD.

Observation:

  • A 41-year-old male presented with SCAD.
  • The SCAD event occurred subsequent to vigorous sexual intercourse.
  • Sexual intercourse can induce significant hemodynamic changes, potentially predisposing to SCAD.

Findings:

  • This case illustrates a rare instance of SCAD in a male patient.
  • The findings suggest sexual intercourse as a potential trigger for SCAD.
  • The case underscores the strenuous nature of sexual activity on the cardiovascular system.

Implications:

  • Physicians should consider SCAD in male patients presenting with chest pain post-sexual activity.
  • Educating patients about the potential cardiovascular risks of strenuous sexual activity is crucial.
  • Further research may elucidate the specific mechanisms linking sexual intercourse to SCAD.

Keywords:
atypical spontaneous coronary artery dissectionemergencyhearthypertensionpostcoital

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