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Vol 65, No 3 (2014)
Case report
Submitted: 2014-09-26
Accepted: 2014-09-26
Published online: 2014-09-26
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Medevac from a cruise ship of a patient with spontaneous coronary artery dissection who presented with epigastralgia

Jenny Garcia-Castaneda, Alfredo Harb-De la Rosa
DOI: 10.5603/IMH.2014.0025
·
IMH 2014;65(3):122-123.

open access

Vol 65, No 3 (2014)
MARITIME MEDICINE Case report
Submitted: 2014-09-26
Accepted: 2014-09-26
Published online: 2014-09-26

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome that has been associated with peripartum and postpartum periods. It results from the separation of the layers of the arterial wall of the coronary artery with the subsequent formation of a false lumen. We report a case of a 54-year-old female who presented to the cruise ship’s medical facility complaining of epigastralgia and dizziness. Work up including an electrocardiography and cardiac profile was ordered. Results yielded a diagnosis of non-ST segment elevation myocardial infarction (NSTEMI). Treatment following American Heart Association recommendations including nitrates, clopidogrel and enoxaparin was given. After debarkation at sea and referral to a reference hospital, the patient was diagnosed with SCAD. Patient’s outcome was favorable and she was discharged home a few days after, despite being managed as a NSTEMI.

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome that has been associated with peripartum and postpartum periods. It results from the separation of the layers of the arterial wall of the coronary artery with the subsequent formation of a false lumen. We report a case of a 54-year-old female who presented to the cruise ship’s medical facility complaining of epigastralgia and dizziness. Work up including an electrocardiography and cardiac profile was ordered. Results yielded a diagnosis of non-ST segment elevation myocardial infarction (NSTEMI). Treatment following American Heart Association recommendations including nitrates, clopidogrel and enoxaparin was given. After debarkation at sea and referral to a reference hospital, the patient was diagnosed with SCAD. Patient’s outcome was favorable and she was discharged home a few days after, despite being managed as a NSTEMI.

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Keywords

spontaneous coronary artery dissection, epigastralgia, cardiac enzymes, ECG

About this article
Title

Medevac from a cruise ship of a patient with spontaneous coronary artery dissection who presented with epigastralgia

Journal

International Maritime Health

Issue

Vol 65, No 3 (2014)

Article type

Case report

Pages

122-123

Published online

2014-09-26

Page views

1310

Article views/downloads

2186

DOI

10.5603/IMH.2014.0025

Bibliographic record

IMH 2014;65(3):122-123.

Keywords

spontaneous coronary artery dissection
epigastralgia
cardiac enzymes
ECG

Authors

Jenny Garcia-Castaneda
Alfredo Harb-De la Rosa

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