AI Article Synopsis
- Spontaneous coronary artery dissection (SCAD) is a rare cause of chest pain, particularly happening in the peripartum period, and even more rarely linked to exercise and heavy weight lifting.
- A case study details a 29-year-old male who experienced chest pain while lifting weights, leading to cardiac catheterization that revealed a significant dissection in his left anterior descending artery and a reduced left ventricular ejection fraction.
- Successful treatment involved a combination of medical therapy followed by stenting, highlighting the challenges of diagnosing and managing this unusual condition but emphasizing that timely intervention can result in positive outcomes.
Article Abstract
Spontaneous coronary artery dissection (SCAD) is a rare cause of chest pain and cardiomyopathy. This phenomenon usually occurs during the peripartum period. SCAD associated with exercise and heavy weight lifting is even rarer and has been reported in less than 10 cases in the literature. We describe a case of SCAD associated with heavy weight lifting and exercise in a 29-year-old male who presented with exertional chest pain. The patient subsequently underwent a cardiac catheterization that showed a left ventricular ejection fraction of 40% and a dissection in the left anterior descending (LAD) coronary artery after the first diagonal/septal branch with extension to the distal LAD that wrapped around the apex. He was effectively managed with the combination of medical therapy followed by a few days later with stenting. In summary, diagnosis and treatment of this rare phenomenon is a challenge, but early diagnosis and appropriate management can lead to a successful outcome.
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| http://dx.doi.org/10.1002/ccd.22904 | DOI Listing |
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