Recurrent Spontaneous Coronary Artery Dissection: A Case of Triple Trouble
Sumit Khurana1, Jessica Kaushal2, Dhruv Markan1
1Department of Internal Medicine, MedStar Franklin Square Medical Center, Baltimore, MD, USA.
Insights
Spontaneous Coronary Artery Dissection (SCAD) is a rare cause of heart attacks. This case highlights the challenges in managing recurrent SCAD due to limited research and treatment guidelines.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Spontaneous Coronary Artery Dissection (SCAD) is an uncommon cause of Acute Coronary Syndrome (ACS).
- Its pathophysiology and optimal management strategies remain poorly understood.
- Recurrence of SCAD, while rare, presents significant clinical challenges.
Abstract:
SCAD (Spontaneous Coronary Artery Dissection) is a rare disorder which rarely recurs. It is increasingly diagnosed as a cause for acute coronary syndrome (ACS) with limited insight into its pathophysiology and treatment. Lack of randomized trials and consensus guidelines make this a unique and challenging disease to manage. We describe a complex case of recurrent idiopathic SCAD with prior history of NSTE-ACS (Non-ST elevation Acute Coronary Syndrome) and discuss its management based on current clinical practices.
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