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Spontaneous Coronary Artery Dissection Following SARS-CoV-2-Associated Multisystem Inflammatory Syndrome

Anthony M Pettinato1, Feria A Ladha1, Jan Zeman2

  • 1Medicine, University of Connecticut School of Medicine, Farmington, USA.

Cureus
|August 3, 2022
PubMed

Insights

Spontaneous coronary artery dissection (SCAD), a cause of heart attack, can follow multisystem inflammatory syndrome (MIS) after COVID-19. This case highlights potential cardiovascular risks linked to COVID-19 and MIS.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Immunology

Background:

  • Spontaneous coronary artery dissection (SCAD) is an underdiagnosed cause of acute coronary syndrome.
  • Multisystem inflammatory syndrome (MIS) emerged during the coronavirus disease 2019 (COVID-19) pandemic.
  • Cardiovascular manifestations of MIS, including SCAD, are a growing concern.

Observation:

  • A case of MIS developed after an initial COVID-19 infection.
  • The patient subsequently experienced SCAD.

Findings:

  • This case demonstrates a potential link between COVID-19, MIS, and SCAD.
  • SCAD occurred following MIS in a patient with a prior COVID-19 infection.

Implications:

  • Further research is needed to understand the sequelae of COVID-19.
  • Investigating the relationship between MIS and SCAD is crucial for patient care.
  • Recognizing potential cardiovascular complications of COVID-19 and MIS is important for early diagnosis and treatment.

Keywords:
covid-19mis-amultisystem inflammatory syndromemyocardial infarctionspontaneous coronary artery dissection

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