Vol 65, No 3 (2014)
Case report
Submitted: 2014-09-26
Accepted: 2014-09-26
Published online: 2014-09-26
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
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IMH 2014;65(3):122-123.
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.
Keywords
spontaneous coronary artery dissection, epigastralgia, cardiac enzymes, ECG
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