2018, Number 2
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Rev Clin Esc Med 2018; 8 (2)
Disección espontanea de la arteria coronaria: reporte de caso
Molina LCD, Wong M
Language: Spanish
References: 11
Page: 1-5
PDF size: 300.86 Kb.
ABSTRACT
Spontaneous coronary artery dissection (SCAD)
is defined as the non-traumatic and non-iatrogenic
separation of the coronary artery walls in
the absence of atherosclerosis, producing bleeding
that causes flow obstruction, being an infrequent
cause of acute coronary syndrome (ACS),
presents risk factors for its presentation; young
population, women, postpartum, connective tissue
disorders, systemic vasculopathies, vigorous
and excessive exercise. There are few studies on
male patients and athletes who has SCAD, the
problem arises of how to make this population
return to its basal physical activity, we demosntrate
this problema by presenting the case
of a 23 years old healthy male boxer, which
shows ACS data with ST elevation in the anterolateral
aspect, after a vigorous exercise load,
without risk factors for atherosclerotic disease.
The literary review shows that cardiac rehabilitation
programs have been created for this pathology
derived from the regular programs for
atherosclerotic disease, where the blood pressure
and weight figures are limited, in order to limit
stress in the cardiovascular system, but it is not
taken in account to the high performance athlete
population that could present a regression in
their basal physical condition or will not see a
maintenance of this.
REFERENCES
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Tweet MS et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation 2012;126:579–88
Rachel A. Lindor et al. Emergency department presentation of patients with spontaneous coronary artery dissection. The Journal of Emergency Medicine, Vol. 52, No. 3, pp. 286– 291, 2017
Satyavan Sharma et al. Spontaneous coronary artery dissection: Case series and review of literatura. Indian Heart Journal 68 (2016) 480-485
Katherine C. Michelis et al. Coronary Artery Manifestations of Fibromuscular Dysplasia. The American College of Cardiology. vol. 64, 2014
Tryn C. Silber et al. Cardiac Rehabilitation After Spontaneous Coronary Artery Dissection. Journal of Cardiopulmonary Rehabilitation and Prevention 2015;35:1-6
Branislav Schifferdecker et al. Spontaneous Coronary Artery Dissection Associated With Sexual Intercourse. The American Journal of Cardiology Vol. 93,2004
Annie Y. Chou et al. First Dedicated Cardiac Rehabilitation Program for Patients With Spontaneous Coronary Artery Dissection: Description and Initial Results. Canadian Journal of Cardiology, 2016, vol 3; 554e560
Paul D. Thompson et al. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities:Task Force 8:CoronaryArteryDisease. Journal of The American College of Cardiology vol. 66, 2015
Jacqueline Saw et al. Contemporary Review on Spontaneous Coronary Artery Dissection. Journal of The American College of Cardiology. vol. 68, 2016
Marysia S. et al. What Clinicians Should Know About Spontaneous Coronary Artery Dissection. Mayo Clin Proc.n August 2015;90(8):1125-1130