Case Report: A First Case of Spontaneous Coronary Artery Dissection Potentially Associated With Scuba Diving.

Détails

Ressource 1Télécharger: 35497983_BIB_7D4577C753DC.pdf (2122.88 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_7D4577C753DC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Case Report: A First Case of Spontaneous Coronary Artery Dissection Potentially Associated With Scuba Diving.
Périodique
Frontiers in cardiovascular medicine
Auteur⸱e⸱s
Mahendiran T., Desgraz B., Antiochos P., Rubimbura V.
ISSN
2297-055X (Print)
ISSN-L
2297-055X
Statut éditorial
Publié
Date de publication
2022
Peer-reviewed
Oui
Volume
9
Pages
855449
Langue
anglais
Notes
Publication types: Case Reports
Publication Status: epublish
Résumé
Scuba diving has rarely been associated with spontaneous arterial dissection. However, all documented cases have involved the cervicocranial arteries.
We report the first case of spontaneous coronary artery dissection (SCAD) potentially associated with scuba diving in a 65-year-old female with no medical history or known cardiovascular risk factors. She presented with sudden-onset chest pain during her descent whilst scuba diving on holiday. An initial ECG revealed transient abnormalities, but due to normal initial blood tests, a reassuring echocardiogram, and the resolution of her symptoms, she was discharged from hospital without a clear diagnosis. During her subsequent presentation to our hospital 1 week later, electrocardiographic evidence of an inferior myocardial infarction (MI) was noted, with an echocardiogram revealing regional wall motion abnormalities of the left ventricular inferior wall. Coronary angiography revealed the presence of a SCAD of the posterior left ventricular artery, with cardiac magnetic resonance imaging confirming the presence of an inferior MI. As recommended in the majority of cases of SCAD, this case was managed conservatively with a favorable clinical course.
This is the first reported case of SCAD potentially associated with scuba diving. It highlights the importance of considering SCAD in patients presenting with sudden-onset chest pain during physical activity, especially in female patients (including older patients) with no cardiovascular risk factors. Furthermore, it serves as a reminder that symptoms during scuba diving are not always related to decompression illness.
Mots-clé
acute myocardial infarction, case report, multimodal imaging, scuba diving, spontaneous coronary artery dissection
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/10/2022 9:37
Dernière modification de la notice
23/01/2024 8:28
Données d'usage