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{ "pk": 6551, "title": "Spontaneous Coronary Artery Dissection: A Case Series Reviewing Typical Presentations of an Atypical Pathology", "subtitle": null, "abstract": "<b>Introduction: </b>Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction. Patients suffering SCAD are often young women without typical risk factors for atherosclerotic heart disease. Clinicians should maintain a high index of suspicion for SCAD.<br><p></p><p><b><b>Case series: </b></b>We report three cases of patients with SCAD from a single physician in a six-month period. Each case is unique and highlights the varied presentations and epidemiological risk factors associated with this condition.</p><p></p><p><b><b><b>Discussion: </b></b></b>We believe these cases are unique in that they provide insights into the variable presentations and conditions frequently associated with SCAD and will help clinicians maintain a high index of suspicion for this difficult to diagnose and rare cause of type 2 myocardial infarction. We discuss differences in interventional techniques and medical management.</p>", "language": null, "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "case report" }, { "word": "myocardial infarction" }, { "word": "spontaneous coronary artery dissection" }, { "word": "ECG" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/055195dk", "frozenauthors": [ { "first_name": "Jace", "middle_name": "C.", "last_name": "Bradshaw", "name_suffix": "", "institution": "Johns Hopkins Hospital, Department of Anesthesiology and Critical Care Medicine, Baltimore, Maryland; Johns Hopkins Hospital, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Lisa", "middle_name": "", "last_name": "Saffire", "name_suffix": "", "institution": "Johns Hopkins Hospital, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Jake", "middle_name": "", "last_name": "Valentine", "name_suffix": "", "institution": "HCA Houston Healthcare Kingwood, Department of Emergency Medicine, Kingwood, Texas", "department": "" }, { "first_name": "P. Logan", "middle_name": "", "last_name": "Weygandt", "name_suffix": "", "institution": "Johns Hopkins Hospital, Department of Emergency Medicine, Baltimore, Maryland", "department": "" } ], "date_submitted": "2023-11-08T14:38:37.882000-05:00", "date_accepted": "2023-11-08T14:42:28.453000-05:00", "date_published": "2023-11-08T09:00:00-05:00", "render_galley": { "label": "Final Article", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/6551/galley/3807/download/" }, "galleys": [ { "label": "Final Article", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/6551/galley/3807/download/" } ] }