Kurum Turhan, Aktoz Meryem
Trakya University School of Medicine, Department of Cardiology, Edirne, Turkey.
J Cardiovasc Med (Hagerstown). 2006 Jan;7(1):68-70. doi: 10.2459/01.JCM.0000199791.24855.e0.
Spontaneous coronary artery dissection (SCAD) is a clinical condition rarely leading to acute myocardial infarction (AMI). We report the case of SCAD presenting AMI in a 25-year-old man with coronary risk factors after strenuous exercise, who was successfully treated with systemic thrombolysis. Coronary angiography revealed spiral dissection of the proximal part of the left anterior descending artery. The present case supports the occurrence of SCAD as a cause of AMI in young male patients who have coronary risk factors, after heavy lifting.
自发性冠状动脉夹层（SCAD）是一种很少导致急性心肌梗死（AMI）的临床病症。我们报告了一例25岁男性在剧烈运动后出现伴有冠状动脉危险因素的AMI的SCAD病例，该患者通过全身溶栓成功治疗。冠状动脉造影显示左前降支近端呈螺旋状夹层。本病例支持在有冠状动脉危险因素的年轻男性患者中，在重物搬运后，SCAD可作为AMI的病因。
