Multivessel spontaneous coronary artery dissection associated with hormonal infertility therapy in a 39-year-old female

Evan L. Hardegree, Marysia S. Tweet, Sharonne N. Hayes, Rajiv Gulati, Garvan C. Kane

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare and potentially lethal cause of chest pain and myocardial infarction in healthy young individuals. It more commonly affects females and has been correlated with hormonally-induced connective tissue changes in pregnancy and oral contraceptive use. We present the case of a previously healthy 39-year-old woman with multivessel SCAD associated with recent clomiphene and gonadotropin therapy for infertility, which is not a previously reported association, and we assert that this should be in the differential diagnosis of such patients with chest pain or myocardial infarction.

Original languageEnglish (US)
Pages (from-to)e69-e72
JournalJournal of Cardiology Cases
Volume5
Issue number2
DOIs
StatePublished - Apr 2012

Keywords

  • Acute coronary syndrome
  • Myocardial infarction
  • Spontaneous coronary artery dissection
  • Women's health

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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