Spontaneous coronary artery dissection after intense weightlifting UCSF fresno department of cardiology
Spontaneous coronary artery dissection (SCAD) is a rare cause of chest pain and cardiomyopathy. This phenomenon usually occurs during the peripartum period. SCAD associated with exercise and heavy weight lifting is even rarer and has been reported in less than 10 cases in the literature. We describe...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2011-08, Vol.78 (2), p.223-227 |
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| creator | El‐Sherief, Karim Rashidian, Ali Srikanth, Sundararajan |
| description | Spontaneous coronary artery dissection (SCAD) is a rare cause of chest pain and cardiomyopathy. This phenomenon usually occurs during the peripartum period. SCAD associated with exercise and heavy weight lifting is even rarer and has been reported in less than 10 cases in the literature. We describe a case of SCAD associated with heavy weight lifting and exercise in a 29‐year‐old male who presented with exertional chest pain. The patient subsequently underwent a cardiac catheterization that showed a left ventricular ejection fraction of 40% and a dissection in the left anterior descending (LAD) coronary artery after the first diagonal/septal branch with extension to the distal LAD that wrapped around the apex. He was effectively managed with the combination of medical therapy followed by a few days later with stenting. In summary, diagnosis and treatment of this rare phenomenon is a challenge, but early diagnosis and appropriate management can lead to a successful outcome. © 2011 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ccd.22904 |
| format | Article |
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This phenomenon usually occurs during the peripartum period. SCAD associated with exercise and heavy weight lifting is even rarer and has been reported in less than 10 cases in the literature. We describe a case of SCAD associated with heavy weight lifting and exercise in a 29‐year‐old male who presented with exertional chest pain. The patient subsequently underwent a cardiac catheterization that showed a left ventricular ejection fraction of 40% and a dissection in the left anterior descending (LAD) coronary artery after the first diagonal/septal branch with extension to the distal LAD that wrapped around the apex. He was effectively managed with the combination of medical therapy followed by a few days later with stenting. 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This phenomenon usually occurs during the peripartum period. SCAD associated with exercise and heavy weight lifting is even rarer and has been reported in less than 10 cases in the literature. We describe a case of SCAD associated with heavy weight lifting and exercise in a 29‐year‐old male who presented with exertional chest pain. The patient subsequently underwent a cardiac catheterization that showed a left ventricular ejection fraction of 40% and a dissection in the left anterior descending (LAD) coronary artery after the first diagonal/septal branch with extension to the distal LAD that wrapped around the apex. He was effectively managed with the combination of medical therapy followed by a few days later with stenting. In summary, diagnosis and treatment of this rare phenomenon is a challenge, but early diagnosis and appropriate management can lead to a successful outcome. © 2011 Wiley‐Liss, Inc.</description><subject>acute coronary syndrome</subject><subject>Adult</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Aneurysm, Dissecting - physiopathology</subject><subject>Aneurysm, Dissecting - therapy</subject><subject>Angina Pectoris - etiology</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Cardiac Catheterization</subject><subject>Cardiomyopathies - etiology</subject><subject>cardiomyopathy</subject><subject>Cardiovascular Agents - therapeutic use</subject><subject>Coronary Aneurysm - diagnosis</subject><subject>Coronary Aneurysm - etiology</subject><subject>Coronary Aneurysm - physiopathology</subject><subject>Coronary Aneurysm - therapy</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>intravascular ultrasound</subject><subject>Male</subject><subject>Myocardial Ischemia - etiology</subject><subject>percutaneous coronary intervention</subject><subject>Stents</subject><subject>Stroke Volume</subject><subject>Treatment Outcome</subject><subject>Ventricular Function, Left</subject><subject>Weight Lifting - injuries</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1OwzAQhC0EoqVw4AWQb4hDqO38-ogCBaRKHEolbpFjb4JRYhc7VdW3x5DCjdOsVt-OdgahS0puKSFsLqW6ZYyT5AhNacpYlLPs7fgwU55kE3Tm_QchhGeMn6IJowmNKSumqF1trBmEAbv1WFpnjXB7LNwAQZT2HuSgrcGiCRuszQDGA96Bbt-HTjeDNi1el6sFbhx4Y7GCTTjuwQzYNlgKp7TtbLs_RyeN6DxcHHSG1ouH1_IpWr48Ppd3y0jG4f8oJankjFLFiyxL0oxLnvOExXFKZVrXCupaNGnOpaIqz2kNgnJeS8YExEUNRTxD16PvxtnPLfih6rWX0HVjxKrIOSVJHpNA3oykdNZ7B021cboP6StKqu9aq1Br9VNrYK8Ortu6B_VH_vYYgPkI7HQH-_-dqrK8Hy2_AM5DgzA</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>El‐Sherief, Karim</creator><creator>Rashidian, Ali</creator><creator>Srikanth, Sundararajan</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>Spontaneous coronary artery dissection after intense weightlifting UCSF fresno department of cardiology</title><author>El‐Sherief, Karim ; Rashidian, Ali ; Srikanth, Sundararajan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3904-505c9211d98664569c979423351c5bbdebbaf579cd1d771bea199bc22ae38be83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>acute coronary syndrome</topic><topic>Adult</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - etiology</topic><topic>Aneurysm, Dissecting - physiopathology</topic><topic>Aneurysm, Dissecting - therapy</topic><topic>Angina Pectoris - etiology</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Cardiac Catheterization</topic><topic>Cardiomyopathies - etiology</topic><topic>cardiomyopathy</topic><topic>Cardiovascular Agents - therapeutic use</topic><topic>Coronary Aneurysm - diagnosis</topic><topic>Coronary Aneurysm - etiology</topic><topic>Coronary Aneurysm - physiopathology</topic><topic>Coronary Aneurysm - therapy</topic><topic>Electrocardiography</topic><topic>Humans</topic><topic>intravascular ultrasound</topic><topic>Male</topic><topic>Myocardial Ischemia - etiology</topic><topic>percutaneous coronary intervention</topic><topic>Stents</topic><topic>Stroke Volume</topic><topic>Treatment Outcome</topic><topic>Ventricular Function, Left</topic><topic>Weight Lifting - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El‐Sherief, Karim</creatorcontrib><creatorcontrib>Rashidian, Ali</creatorcontrib><creatorcontrib>Srikanth, Sundararajan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El‐Sherief, Karim</au><au>Rashidian, Ali</au><au>Srikanth, Sundararajan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous coronary artery dissection after intense weightlifting UCSF fresno department of cardiology</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>78</volume><issue>2</issue><spage>223</spage><epage>227</epage><pages>223-227</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Spontaneous coronary artery dissection (SCAD) is a rare cause of chest pain and cardiomyopathy. This phenomenon usually occurs during the peripartum period. SCAD associated with exercise and heavy weight lifting is even rarer and has been reported in less than 10 cases in the literature. We describe a case of SCAD associated with heavy weight lifting and exercise in a 29‐year‐old male who presented with exertional chest pain. The patient subsequently underwent a cardiac catheterization that showed a left ventricular ejection fraction of 40% and a dissection in the left anterior descending (LAD) coronary artery after the first diagonal/septal branch with extension to the distal LAD that wrapped around the apex. He was effectively managed with the combination of medical therapy followed by a few days later with stenting. In summary, diagnosis and treatment of this rare phenomenon is a challenge, but early diagnosis and appropriate management can lead to a successful outcome. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21413128</pmid><doi>10.1002/ccd.22904</doi><tpages>5</tpages></addata></record> |
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| subjects | acute coronary syndrome Adult Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - etiology Aneurysm, Dissecting - physiopathology Aneurysm, Dissecting - therapy Angina Pectoris - etiology Angioplasty, Balloon, Coronary Cardiac Catheterization Cardiomyopathies - etiology cardiomyopathy Cardiovascular Agents - therapeutic use Coronary Aneurysm - diagnosis Coronary Aneurysm - etiology Coronary Aneurysm - physiopathology Coronary Aneurysm - therapy Electrocardiography Humans intravascular ultrasound Male Myocardial Ischemia - etiology percutaneous coronary intervention Stents Stroke Volume Treatment Outcome Ventricular Function, Left Weight Lifting - injuries |
| title | Spontaneous coronary artery dissection after intense weightlifting UCSF fresno department of cardiology |
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