Spontaneous acute coronary dissection after cocaine abuse in a young woman

Federico Bizzarri, Sergio Mondillo, Francesco Guerrini, Riccardo Barbati, Giacomo Frati, Giuseppe Davoli

Research output: Contribution to journalArticle

Abstract

Spontaneous coronary artery dissection is an unusual trigger for acute coronary syndrome or sudden death, occurring more frequently in relatively young people and mainly in the female sex. The underlying mechanism is not completely understood, but predisposing factors may include metabolism and collagen synthesis disorders. The case of a 34-year-old woman who underwent coronary angiography for acute anterolateral myocardial ischemia after cocaine abuse is reported. Dissection of the left main trunk extending to both proximal descending anterior and circumflex arteries was detected and the patient was promptly and successfully managed with tirofiban hydrochloride infusion and urgent coronary artery bypass grafting.

Original languageEnglish
Pages (from-to)297-299
Number of pages3
JournalCanadian Journal of Cardiology
Volume19
Issue number3
Publication statusPublished - Mar 1 2003

Fingerprint

tirofiban
Cocaine-Related Disorders
Acute Coronary Syndrome
Sudden Death
Coronary Angiography
Coronary Artery Bypass
Causality
Myocardial Ischemia
Dissection
Collagen
Arteries
Spontaneous Coronary Artery Dissection

Keywords

  • Bypass
  • Cocaine
  • Coronary disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Bizzarri, F., Mondillo, S., Guerrini, F., Barbati, R., Frati, G., & Davoli, G. (2003). Spontaneous acute coronary dissection after cocaine abuse in a young woman. Canadian Journal of Cardiology, 19(3), 297-299.

Spontaneous acute coronary dissection after cocaine abuse in a young woman. / Bizzarri, Federico; Mondillo, Sergio; Guerrini, Francesco; Barbati, Riccardo; Frati, Giacomo; Davoli, Giuseppe.

In: Canadian Journal of Cardiology, Vol. 19, No. 3, 01.03.2003, p. 297-299.

Research output: Contribution to journalArticle

Bizzarri, F, Mondillo, S, Guerrini, F, Barbati, R, Frati, G & Davoli, G 2003, 'Spontaneous acute coronary dissection after cocaine abuse in a young woman', Canadian Journal of Cardiology, vol. 19, no. 3, pp. 297-299.
Bizzarri F, Mondillo S, Guerrini F, Barbati R, Frati G, Davoli G. Spontaneous acute coronary dissection after cocaine abuse in a young woman. Canadian Journal of Cardiology. 2003 Mar 1;19(3):297-299.
Bizzarri, Federico ; Mondillo, Sergio ; Guerrini, Francesco ; Barbati, Riccardo ; Frati, Giacomo ; Davoli, Giuseppe. / Spontaneous acute coronary dissection after cocaine abuse in a young woman. In: Canadian Journal of Cardiology. 2003 ; Vol. 19, No. 3. pp. 297-299.
@article{47cf0a653837444c975cf46a1a6584c7,
title = "Spontaneous acute coronary dissection after cocaine abuse in a young woman",
abstract = "Spontaneous coronary artery dissection is an unusual trigger for acute coronary syndrome or sudden death, occurring more frequently in relatively young people and mainly in the female sex. The underlying mechanism is not completely understood, but predisposing factors may include metabolism and collagen synthesis disorders. The case of a 34-year-old woman who underwent coronary angiography for acute anterolateral myocardial ischemia after cocaine abuse is reported. Dissection of the left main trunk extending to both proximal descending anterior and circumflex arteries was detected and the patient was promptly and successfully managed with tirofiban hydrochloride infusion and urgent coronary artery bypass grafting.",
keywords = "Bypass, Cocaine, Coronary disease",
author = "Federico Bizzarri and Sergio Mondillo and Francesco Guerrini and Riccardo Barbati and Giacomo Frati and Giuseppe Davoli",
year = "2003",
month = "3",
day = "1",
language = "English",
volume = "19",
pages = "297--299",
journal = "Canadian Journal of Cardiology",
issn = "0828-282X",
publisher = "Pulsus Group Inc.",
number = "3",

}

TY - JOUR

T1 - Spontaneous acute coronary dissection after cocaine abuse in a young woman

AU - Bizzarri, Federico

AU - Mondillo, Sergio

AU - Guerrini, Francesco

AU - Barbati, Riccardo

AU - Frati, Giacomo

AU - Davoli, Giuseppe

PY - 2003/3/1

Y1 - 2003/3/1

N2 - Spontaneous coronary artery dissection is an unusual trigger for acute coronary syndrome or sudden death, occurring more frequently in relatively young people and mainly in the female sex. The underlying mechanism is not completely understood, but predisposing factors may include metabolism and collagen synthesis disorders. The case of a 34-year-old woman who underwent coronary angiography for acute anterolateral myocardial ischemia after cocaine abuse is reported. Dissection of the left main trunk extending to both proximal descending anterior and circumflex arteries was detected and the patient was promptly and successfully managed with tirofiban hydrochloride infusion and urgent coronary artery bypass grafting.

AB - Spontaneous coronary artery dissection is an unusual trigger for acute coronary syndrome or sudden death, occurring more frequently in relatively young people and mainly in the female sex. The underlying mechanism is not completely understood, but predisposing factors may include metabolism and collagen synthesis disorders. The case of a 34-year-old woman who underwent coronary angiography for acute anterolateral myocardial ischemia after cocaine abuse is reported. Dissection of the left main trunk extending to both proximal descending anterior and circumflex arteries was detected and the patient was promptly and successfully managed with tirofiban hydrochloride infusion and urgent coronary artery bypass grafting.

KW - Bypass

KW - Cocaine

KW - Coronary disease

UR - http://www.scopus.com/inward/record.url?scp=0037445086&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037445086&partnerID=8YFLogxK

M3 - Article

C2 - 12677286

AN - SCOPUS:0037445086

VL - 19

SP - 297

EP - 299

JO - Canadian Journal of Cardiology

JF - Canadian Journal of Cardiology

SN - 0828-282X

IS - 3

ER -