Scholarlink

Background <p>Spontaneous coronary artery dissection (SCAD) is a rare, non-atherosclerotic cause of acute coronary syndrome that predominantly affects young, healthy women without conventional cardiovascular risk factors. Reporting such cases is essential to raise awareness of their variable presentation and diagnostic challenges, particularly when initial findings are unremarkable.</p> Case presentation <p>We discuss a case of SCAD in a 37-year-old Iranian woman with no prior medical history or cardiovascular risk factors. The patient was initially presented with non-specific symptoms and a normal ECG. Her condition rapidly progressed to cardiogenic shock, complicated by ventricular arrhythmias, necessitating intensive medical management and hemodynamic support. Coronary angiography confirmed SCAD. Following multidisciplinary care, her cardiac function gradually improved, and the patient was discharged with close follow-up.</p> Conclusions <p>This case highlights the necessity for clinicians to consider SCAD in young female patients presenting with chest pain, even in the absence of classic risk factors or abnormal initial investigations. Early recognition and a multidisciplinary approach are crucial for optimizing outcomes in this rare yet potentially life-threatening condition.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Delayed cardiogenic shock following spontaneous coronary artery dissection in a young, healthy female: a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月15日

查看全文
  • Leili Abdan,
  • Maria Saadatian,
  • Homina Saffar,
  • Zahra Abdan,
  • Hamidreza Hekmat,
  • Negar Omidi

摘要

Background

Spontaneous coronary artery dissection (SCAD) is a rare, non-atherosclerotic cause of acute coronary syndrome that predominantly affects young, healthy women without conventional cardiovascular risk factors. Reporting such cases is essential to raise awareness of their variable presentation and diagnostic challenges, particularly when initial findings are unremarkable.

Case presentation

We discuss a case of SCAD in a 37-year-old Iranian woman with no prior medical history or cardiovascular risk factors. The patient was initially presented with non-specific symptoms and a normal ECG. Her condition rapidly progressed to cardiogenic shock, complicated by ventricular arrhythmias, necessitating intensive medical management and hemodynamic support. Coronary angiography confirmed SCAD. Following multidisciplinary care, her cardiac function gradually improved, and the patient was discharged with close follow-up.

Conclusions

This case highlights the necessity for clinicians to consider SCAD in young female patients presenting with chest pain, even in the absence of classic risk factors or abnormal initial investigations. Early recognition and a multidisciplinary approach are crucial for optimizing outcomes in this rare yet potentially life-threatening condition.