Abstract
A 52-year-old female presented to the emergency department ten minutes after the development of sudden-onset crushing chest pain radiating to both of her arms, associated with dyspnea on exertion. Notably, she reported a several-month history of significant stress caring for her elderly mother with Alzheimer’s disease. On admission, her vital signs revealed sinus bradycardia with a heart rate of 56 beats/min.
The patient reported a past medical history of hypothyroidism, breast cancer status post lumpectomy, nicotine dependence, and anxiety. She did not have a prior history of cardiovascular disease or stroke, nor a family history of premature coronary disease. She also had no prior radiation or chemotherapy. Her medications included levothyroxine and propranolol as needed for panic attacks.
Recommended Citation
Gonzalez, MD, MS, Virginia; Mallari, MD, Kashka; Gonzalez, MD, Marina; Schneider, MD, Svenja; Cho, MD, Sung-Hae; and Gorodin-Kiliddar, MD, Paulina
(2025)
"A Case of Type 4 Spontaneous Coronary Artery Dissection (SCAD),"
The Medicine Forum: Vol. 26, Article 9.
Available at:
https://jdc.jefferson.edu/tmf/vol26/iss1/9
