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Case Reports
Spontaneous coronary artery dissection in a young woman with polycystic ovarian syndrome.
- Marco Mirra, Nertil Kola, Giacomo Mattiello, Carmine Morisco, and Letizia Spinelli.
- Department of Translational Medical Sciences, Federico II University, Naples, Italy.
- Am J Emerg Med. 2017 Jun 1; 35 (6): 936.e5-936.e7.
AbstractPolycystic ovarian syndrome (PCOS) affects 4% to 12% of women in reproductive age, representing a clinical condition that could predispose to cardiovascular diseases. We report a case of a 34-year-old woman with PCOS, presenting with chest pain, onset two days before, and ST segment-elevation myocardial infarction. She was not pregnant or in a postpartum state. Subsequent cardiac angiography revealed spontaneous left anterior descending coronary artery dissections, managed by conservative approach. The patient was discharged in medical therapy after 5days. This is the first observation of spontaneous coronary artery dissection occurring in a PCOS patient.Copyright © 2016 Elsevier Inc. All rights reserved.
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