Complete angiographic resolution of spontaneous coronary artery dissection associated with sleep deprivation

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4 Citations (Scopus)

Abstract

We describe a case of complete angiographic resolution of spontaneous coronary artery dissection associated sleep deprivation with a successful medical management. A 40-year-old woman presented to our emergency department with squeezing chest pain following 72 h sleep deprivation. Coronary angiography demonstrated longitudinal dissection of the middle part of the diagonal artery with TIMI III flow to the distal part of the vessel. The dissected vessel was small to intervene so we decided to treat it conservatively with antiplatelet agents and heparin. She remained free of chest pain during the hospitalization period and was discharged in good condition. We continued to treat her in the outpatient clinic with antiplatelet agents and the patient no longer complained of chest pain. At six months, coronary angiography demonstrated complete resolution of the previously dissected coronary artery.

Original languageEnglish
JournalInternational Journal of Cardiology
Volume119
Issue number2
DOIs
Publication statusPublished - 2007 Jul 10

Fingerprint

Sleep Deprivation
Chest Pain
Platelet Aggregation Inhibitors
Coronary Angiography
Ambulatory Care Facilities
Heparin
Dissection
Hospital Emergency Service
Coronary Vessels
Hospitalization
Arteries
Spontaneous Coronary Artery Dissection

Keywords

  • Angiography
  • Dissection
  • Sleep deprivation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Complete angiographic resolution of spontaneous coronary artery dissection associated with sleep deprivation",
abstract = "We describe a case of complete angiographic resolution of spontaneous coronary artery dissection associated sleep deprivation with a successful medical management. A 40-year-old woman presented to our emergency department with squeezing chest pain following 72 h sleep deprivation. Coronary angiography demonstrated longitudinal dissection of the middle part of the diagonal artery with TIMI III flow to the distal part of the vessel. The dissected vessel was small to intervene so we decided to treat it conservatively with antiplatelet agents and heparin. She remained free of chest pain during the hospitalization period and was discharged in good condition. We continued to treat her in the outpatient clinic with antiplatelet agents and the patient no longer complained of chest pain. At six months, coronary angiography demonstrated complete resolution of the previously dissected coronary artery.",
keywords = "Angiography, Dissection, Sleep deprivation",
author = "Suh, {Soon Yong} and Kim, {Jin Won} and Choi, {Cheol Ung} and Kim, {Eung Ju} and Seung-Woon Rha and Park, {Chang Gyu} and Seo, {Hong Seog} and Oh, {Dong Joo}",
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T1 - Complete angiographic resolution of spontaneous coronary artery dissection associated with sleep deprivation

AU - Suh, Soon Yong

AU - Kim, Jin Won

AU - Choi, Cheol Ung

AU - Kim, Eung Ju

AU - Rha, Seung-Woon

AU - Park, Chang Gyu

AU - Seo, Hong Seog

AU - Oh, Dong Joo

PY - 2007/7/10

Y1 - 2007/7/10

N2 - We describe a case of complete angiographic resolution of spontaneous coronary artery dissection associated sleep deprivation with a successful medical management. A 40-year-old woman presented to our emergency department with squeezing chest pain following 72 h sleep deprivation. Coronary angiography demonstrated longitudinal dissection of the middle part of the diagonal artery with TIMI III flow to the distal part of the vessel. The dissected vessel was small to intervene so we decided to treat it conservatively with antiplatelet agents and heparin. She remained free of chest pain during the hospitalization period and was discharged in good condition. We continued to treat her in the outpatient clinic with antiplatelet agents and the patient no longer complained of chest pain. At six months, coronary angiography demonstrated complete resolution of the previously dissected coronary artery.

AB - We describe a case of complete angiographic resolution of spontaneous coronary artery dissection associated sleep deprivation with a successful medical management. A 40-year-old woman presented to our emergency department with squeezing chest pain following 72 h sleep deprivation. Coronary angiography demonstrated longitudinal dissection of the middle part of the diagonal artery with TIMI III flow to the distal part of the vessel. The dissected vessel was small to intervene so we decided to treat it conservatively with antiplatelet agents and heparin. She remained free of chest pain during the hospitalization period and was discharged in good condition. We continued to treat her in the outpatient clinic with antiplatelet agents and the patient no longer complained of chest pain. At six months, coronary angiography demonstrated complete resolution of the previously dissected coronary artery.

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KW - Dissection

KW - Sleep deprivation

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