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Unmasking the Silent Intruder: A Case of Spontaneous Coronary Artery Dissection

Chibuike C Agwuegbo1, Eman N Ahmed2, Serin Moideen Sheriff3,4

  • 1Internal Medicine, Western University of Health Sciences, Temecula, USA.

Cureus
|August 16, 2023
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) presents a diagnostic challenge, even in healthy males. This case highlights SCAD recognition and management in a male patient experiencing chest pain, emphasizing improved clinical awareness.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is an uncommon cause of chest pain, often misdiagnosed.
  • Diagnostic challenges persist, particularly in patient populations where SCAD is less frequently observed.

Observation:

  • A case report detailing a male patient presenting with acute chest pain.
  • Coronary angiography revealed type 1 SCAD, characterized by luminal radiolucency.
  • The patient was previously healthy and active, making the diagnosis unusual.

Findings:

  • Successful medical management of SCAD was achieved, leading to patient stabilization.
  • The patient was referred for cardiac rehabilitation and close follow-up.
  • This case underscores the importance of considering SCAD in differential diagnoses for chest pain.

Implications:

  • Increased awareness and recognition of SCAD in male patients are crucial for timely diagnosis.
  • Early and appropriate management can lead to improved patient outcomes.
  • Further research into SCAD in diverse populations may refine diagnostic and therapeutic strategies.

Keywords:
acute coronary syndromechest paincoronary angiographycoronary pathologyinterventional cardiologyspontaneous coronary artery dissection

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