Abstract
Spontaneous coronary artery dissection is an unusual yet clinically important cause of acute coronary syndromes. We present the case of a 37-year-old woman, actively training for a marathon, who presented with a non-Q wave myocardial infarction due to multivessel spontaneous coronary artery dissection, along with a review of the literature on spontaneous coronary artery dissections manifesting as acute myocardial infarctions.
MeSH terms
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Adult
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Aortic Dissection / complications
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / drug therapy*
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Aspirin / therapeutic use*
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Clopidogrel
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Coronary Aneurysm / complications
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Coronary Aneurysm / diagnostic imaging
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Coronary Aneurysm / drug therapy*
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Exercise
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Female
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Humans
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Myocardial Infarction / etiology
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Platelet Aggregation Inhibitors / therapeutic use*
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Radiography
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Ticlopidine / analogs & derivatives*
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Ticlopidine / therapeutic use*
Substances
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Platelet Aggregation Inhibitors
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Clopidogrel
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Ticlopidine
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Aspirin