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சுருக்கம்

Cardiac Arrest and Tortuosity of Artery as Major Predictors Response of Rare Case of Spontaneous Coronary Artery Dissection

Sofia Braile Sabino, Maria Christiane Valéria Braga Braile-Sternieri, Eliana Migliorini Mustafa, Victor Rodrigues Ribeiro Ferreira, Rodrigo Serpa Sestito, Flávio Correa Pivatelli, Bethina Canaroli Sbardellini, Giovanni Braile Sternieri, Lúcia Angélica Buffulin de Faria, Domingo Marcolino Braile and Idiberto José Zot

Background: Spontaneous coronary artery dissection (SCAD) may be a predictor of fibromuscular dysplasia (FMD) that affects Caucasian women, lean, between 15 and 50 years of age and with no significant historical predominance in the female sex, from 75 to 100% of cases. Within this, it is known that the main predictors of this enzymatic derangement can be postpartum periods, multiparity, tissue disorder, hormone therapies (use of anticonception), use of certain illicit drugs, physical stress and emotional stress. In smaller proportions, it is associated with disorders such as the Marfan, Ehlers-Danlos and Horner Syndromes.

Objective: It was to report a rare case of spontaneous coronary dissection, with previous involvement of cardiac arrest.

Case: Female patient, 40 years old, presented pain in precordial region in tightening with irradiation to left upper limb. The patient denied a history of hypertension, Diabetes mellitus, dyslipidemia and smoking, and was unable to report a family history. However, she reported an episode of sudden cardiac arrest three years before and presented with grade I obesity. She also presented tortuosity of the coronary arteries and did not report migraine headaches, and after exams (cineangiographies) she was diagnosed with SCAD.

Conclusion: Due to the episode of acute myocardial infarction and the presence of coronary tortuosity, as predictors of SCAD, the patient was diagnosed with this condition and, after the treatments mentioned in the above text, the patient remained asymptomatic.