Kumar Kelash, Gulati Amit, Poonam Fnu, Raj Shiv
Internal Medicine, Wyckoff Heights Medical Center, Brooklyn, USA.
Internal Medicine, Maimonides Medical Center, Brooklyn, USA.
Cureus. 2022 Apr 6;14(4):e23880. doi: 10.7759/cureus.23880. eCollection 2022 Apr.
Chest pain is one of the common complaints encountered in clinical practice. Multiple diseases present as chest pain and often the etiology can be challenging to diagnose. Among the cardiac causes, coronary artery dissection is one of the life-threatening conditions and is often misdiagnosed as an acute coronary syndrome because of its similar presentation. In this case report, we will share a case of coronary artery dissection, which was initially managed as a non-ST-elevation myocardial infarction. We will share the modalities used to diagnose spontaneous coronary artery dissection and how the management differs between acute coronary syndrome and spontaneous coronary artery dissection.
胸痛是临床实践中常见的主诉之一。多种疾病都可表现为胸痛，其病因往往难以诊断。在心脏病因中，冠状动脉夹层是危及生命的病症之一，由于其表现相似，常被误诊为急性冠状动脉综合征。在本病例报告中，我们将分享一例冠状动脉夹层病例，该病例最初被当作非ST段抬高型心肌梗死进行处理。我们将分享用于诊断自发性冠状动脉夹层的方法，以及急性冠状动脉综合征和自发性冠状动脉夹层在治疗上的差异。
