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Spontaneous Coronary Artery Dissection With Concomitant Coronary Vasospasm

Kazutoshi Hirose1, Izaya Kamei1, Takahiro Tanabe1

  • 1Department of Cardiovascular Medicine, The Saitama Eastern Cardiovascular Hospital, Saitama, Japan.

JACC. Case Reports
|April 22, 2024
PubMed

Insights

Spontaneous coronary artery dissection can cause heart attacks. Clinicians should also consider vasospastic angina in these cases for proper diagnosis and treatment.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction.
  • Vasospastic angina is characterized by reversible coronary artery vasospasm.

Observation:

  • A case of acute myocardial infarction (MI) was observed.
  • The MI was attributed to spontaneous coronary artery dissection.
  • The patient also presented with vasospastic angina.

Findings:

  • Concomitant vasospasm was identified in a patient with SCAD-induced MI.
  • This dual cardiac condition presents unique diagnostic and management challenges.

Implications:

  • Recognition of concurrent vasospasm is crucial for SCAD patients.
  • Tailored therapeutic strategies are necessary to address both SCAD and vasospasm.
  • Improved clinical awareness can lead to better patient outcomes in complex coronary syndromes.

Keywords:
acetylcholine provocation testoptical frequency domain imagingspontaneous coronary artery dissectionvasospastic angina

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