A rare cause of myocardial infarction and ventricular tachycardia in a young male with HIV/AIDS - spontaneous coronary artery dissection: A case report
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Published:2021-04-06
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ISSN:2008-5117
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Container-title:Journal of Cardiovascular and Thoracic Research
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language:en
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Short-container-title:J Cardiovasc Thorac Res
Author:
Prasad KrishnaORCID,
Aggarwal Tanushi,
Panda PrashantORCID,
Kasinadhuni Ganesh,
Sharma Yash Paul
Abstract
HIV/AIDS is a multisystemic disorder and occurrence of cardiovascular disease is higher compared to non-HIV individuals. Spontaneous coronary artery dissection (SCAD) remains a rare and underdiagnosed cause of acute coronary syndrome (ACS), even in modern day era. SCAD is predominantly seen in young to middle aged females and present as a non-atherosclerotic cause of myocardial ischaemia, infarction or sudden cardiac death (SCD); with or without ventricular arrythmias. Ventricular tachycardia (VT) can sometimes be the initial presentation of SCAD. HIV associated arteriopathy can predispose to occurrence of SCAD. We report a case of a 38-year-old male suffering from HIV/AIDS, with no conventional risk factors presenting as VT. Coronary angiogram showed SCAD in right coronary artery without any flow limitation.
Publisher
Maad Rayan Publishing Company
Subject
Cardiology and Cardiovascular Medicine