Chest pain during a daily run unfolds an unfortunate diagnosis: A case report and review of the literature on spontaneous coronary artery dissection: A case report on spontaneous coronary artery dissection

Laxman Wagle; Kishor  Pokharel; Surendra  Sapkota; Nahla  Shihab; Dhiraj Raj  Regmi; Suraj  Shrestha; Jesse  Doran

doi:10.28982/josam.8025

Authors

Laxman Wagle Department of Medicine, Ascension Saint Agnes Hospital, Baltimore, Maryland, USA https://orcid.org/0009-0000-5651-1246
Kishor Pokharel Department of Medicine, Ascension Saint Agnes Hospital, Baltimore, Maryland, USA https://orcid.org/0009-0001-5968-588X
Surendra Sapkota Department of Medicine, Ascension Saint Agnes Hospital, Baltimore, Maryland, USA https://orcid.org/0000-0002-7242-6356
Nahla Shihab Department of Medicine, Ascension Saint Agnes Hospital, Baltimore, Maryland, USA https://orcid.org/0000-0002-2522-0902
Dhiraj Raj Regmi Department of Internal Medicine, Tanahun Sewa Hospital, Gandaki, Nepal https://orcid.org/0009-0001-2323-0760
Suraj Shrestha Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal https://orcid.org/0000-0001-6888-260X
Jesse Doran Department of Cardiology, Ascension Saint Agnes Hospital, Baltimore, Maryland, USA https://orcid.org/0009-0002-0663-9465

DOI:

https://doi.org/10.28982/josam.8025

Keywords:

SCAD, spontaneous coronary artery dissection, coronary angiogram

Abstract

Spontaneous coronary artery dissection (SCAD) is an uncommon but important cause of acute coronary syndrome. This condition is not linked to typical atherosclerotic risk factors, such as tobacco use, high blood pressure, diabetes, and hyperlipidemia. The majority of patients with SCAD experience chest pain and have some form of acute coronary syndrome with acute ST-elevation myocardial infarction (STEMI) being the most common. Early diagnosis is of utmost importance, as it can be fatal if management is delayed. Medical management is preferred over percutaneous intervention for hemodynamically stable cases. A case is presented of a 51-year-old female patient with no significant comorbidities who presented with exertional chest pain and STEMI, which unfolded a diagnosis of SCAD.

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