Agwuegbo Chibuike C, Ahmed Eman N, Moideen Sheriff Serin, Olumuyide Emmanuel O, Waduge Sahani A
Internal Medicine, Western University of Health Sciences, Temecula, USA.
Internal Medicine, College of Medicine Alfaisal University, Riyadh, SAU.
Cureus. 2023 Jul 15;15(7):e41934. doi: 10.7759/cureus.41934. eCollection 2023 Jul.
Spontaneous coronary artery dissection continues to pose a diagnostic dilemma in the evaluation of patients with chest pain. Our case discusses its manifestation in a male patient who visited the emergency department complaining of recent-onset chest pain. Evaluation of his chest pain through coronary angiography revealed luminal radiolucency corresponding to type 1 spontaneous coronary artery dissection (SCAD). The patient was promptly managed using medical interventions until stability was achieved and referred to cardiac rehabilitation care with close follow-up. In our literary contribution, we present a fascinating diagnosis, potentially life-threatening, observed in an otherwise active and healthy male patient. Notably, this diagnosis is uncommon in the male population. Through this study, we aimed to shed light on understanding, awareness, and clinical recognition of SCAD, ultimately improving patient care and outcomes.
自发性冠状动脉夹层在胸痛患者的评估中仍然是一个诊断难题。我们的病例讨论了一名男性患者的表现，该患者因近期出现胸痛前往急诊科就诊。通过冠状动脉造影对其胸痛进行评估，发现与1型自发性冠状动脉夹层（SCAD）相对应的管腔透亮区。该患者立即接受了药物干预治疗，直至病情稳定，随后被转介至心脏康复护理并进行密切随访。在我们的文献贡献中，我们呈现了一个在其他方面活跃且健康的男性患者身上观察到的、可能危及生命的迷人诊断。值得注意的是，这种诊断在男性人群中并不常见。通过这项研究，我们旨在阐明对SCAD的理解、认识和临床识别，最终改善患者护理和治疗结果。
