Pettinato Anthony M, Ladha Feria A, Zeman Jan, Ingrassia Joseph J
Medicine, University of Connecticut School of Medicine, Farmington, USA.
Department of Internal Medicine, University of Connecticut School of Medicine, Farmington, USA.
Cureus. 2022 Jul 1;14(7):e26479. doi: 10.7759/cureus.26479. eCollection 2022 Jul.
Spontaneous coronary artery dissection (SCAD) is an underdiagnosed cause of acute coronary syndrome, myocardial infarction, and sudden cardiac death. During the coronavirus disease 2019 (COVID-19) pandemic, a multisystem inflammatory syndrome (MIS) emerged that is incompletely understood. While the involvement of numerous organ systems has been described, the potential cardiovascular manifestations, such as myocarditis, arterial thrombosis, or SCAD, are particularly worrisome. Here, we present a case of MIS that was preceded by an unremarkable case of COVID-19 and followed by the development of SCAD. This case highlights the importance of furthering our understanding of the potential sequelae of COVID-19 and of the potential relationship between SCAD and MIS.
自发性冠状动脉夹层（SCAD）是急性冠状动脉综合征、心肌梗死和心源性猝死的一个诊断不足的病因。在2019冠状病毒病（COVID-19）大流行期间，出现了一种尚未完全了解的多系统炎症综合征（MIS）。虽然已经描述了许多器官系统受累的情况，但潜在的心血管表现，如心肌炎、动脉血栓形成或SCAD，尤其令人担忧。在此，我们报告一例MIS病例，该病例之前有一例症状不明显的COVID-19病例，随后发展为SCAD。该病例凸显了加深我们对COVID-19潜在后遗症以及SCAD与MIS之间潜在关系理解的重要性。
