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Spontaneous coronary artery dissection, two case reports of men

Adam Koudelka, Petr Lokaj, Jiří Pařenica

    Vnitrni Lekarstvi
    |October 31, 2022
    PubMed

    Insights

    Spontaneous coronary artery dissection (SCAD) is a rare cause of heart attacks, often affecting young, healthy individuals. This article highlights two male SCAD cases, broadening understanding beyond the typical female demographic.

    Area of Science:

    • Cardiology
    • Internal Medicine

    Background:

    • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS).
    • It predominantly affects younger individuals lacking traditional cardiovascular risk factors.
    • SCAD presents acutely in healthy individuals, necessitating its consideration in chest pain differential diagnoses.

    Observation:

    • The increasing availability of advanced diagnostic tools may lead to a rise in reported SCAD cases.
    • Early detection and intervention are crucial for preventing complications like arrhythmias and cardiac arrest.
    • While most case reports focus on women, SCAD can affect men.

    Findings:

    • This article presents two case reports of SCAD in male patients.
    • These cases contribute to a more comprehensive understanding of SCAD's presentation across different demographics.

    Implications:

    • Increased awareness of SCAD is vital for timely diagnosis in patients without established cardiovascular risk.
    • Recognizing SCAD in men is important for accurate diagnosis and management.
    • Further research into SCAD in men may reveal unique aspects of its pathophysiology and treatment.

    Keywords:
    dual antiplatelet therapyselective coronarographyspontaneous coronary dissectiontype 2 myocardial infarction

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