Low-Dose Oral Contraceptives and Spontaneous Coronary Artery Dissection With Heavy Clot Burden in a Nonpregnant Woman.
Gaspar Del Rio-PertuzJuthipong BenjanuwattraSaif El NawaaAnkush LahotiScott ShurmurPublished in: Journal of investigative medicine high impact case reports (2022)
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS) caused by a nontraumatic tear in the coronary artery wall. The true incidence is thought to be underestimated owing to its diagnostic difficulty as coronary angiography is insensitive in assessing the arterial wall structure, thereby warranting additional diagnostic modalities such as intravascular ultrasound. We report a case of a young woman who had been taking oral contraceptives, and presented with acute non-ST segment elevation myocardial infarction due to SCAD with superimposed thrombosis.
Keyphrases
- coronary artery
- acute coronary syndrome
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- pulmonary artery
- low dose
- antiplatelet therapy
- risk factors
- liver failure
- case report
- magnetic resonance imaging
- high dose
- coronary artery disease
- drug induced
- intensive care unit
- extracorporeal membrane oxygenation