Vnitr Lek 2022, 68(6):402-407 | DOI: 10.36290/vnl.2022.082

Spontaneous coronary artery dissection, two case reports of men

Adam Koudelka^{1, 3}, Petr Lokaj^{2, 3}, Jiří Pařenica^{2, 3}, Jan Kaňovský^{2, 3}, Petr Kala^{2, 3}

¹ Klinika interní, geriatrie a praktického lékařství, Fakultní nemocnice Brno

² Interní kardiologická klinika, Fakultní nemocnice Brno

³ Lékařská fakulta, Masarykova univerzita, Brno

Spontaneous coronary dissection (SCAD) is one of the less common causes of acute coronary syndrome. It mainly affects younger patients without typical risk factors for ischemic heart disease. SCAD usually arises suddenly in otherwise healthy individuals with a previously full quality of life, and given the potential urgency of the condition, it is an important nosological unit in the differential diagnosis of chest pain. With the improving availability of comprehensive diagnostic methods we could see an increase in number of reported cases, and thus the potential for early intervention or active prevention of complications including malignant arrhythmias and cardiac arrest. It is therefore necessary to think about SCAD during examination of patients that are not yet at a cardiovascular risk. The vast majority of published case reports relate to cases described in women. Our article describes two case reports in men.

Keywords: dual antiplatelet therapy, selective coronarography, spontaneous coronary dissection, type 2 myocardial infarction.

Accepted: September 23, 2022; Published: October 3, 2022  Show citation