Ho Sara Wei-Fen, Lin Weiqin, Chan Koo Hui, Seow Swee-Chong
Department of Medicine, National University Hospital, National University Health System, Singapore.
Cardiac Department, National University Heart Centre Singapore, National University Health System, Singapore.
Heart Lung Circ. 2016 Jan;25(1):e9-11. doi: 10.1016/j.hlc.2015.08.013. Epub 2015 Sep 25.
Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome. Diagnosis of coronary artery dissection is made on coronary angiogram and prompt revascularisation is the key in management. We present a case of coronary artery dissection with an atypical presentation of cardiac arrhythmia mimicking benign fascicular ventricular tachycardia. A high index of suspicion and early coronary angiogram allowed us to diagnose and treat this potentially life-threatening disease.
自发性冠状动脉夹层是急性冠状动脉综合征的一种罕见病因。冠状动脉夹层的诊断依靠冠状动脉造影，而迅速进行血运重建是治疗的关键。我们报告一例冠状动脉夹层病例，其表现不典型，以类似良性束支性室性心动过速的心律失常为特征。高度的怀疑指数和早期冠状动脉造影使我们能够诊断并治疗这种潜在的危及生命的疾病。
