Spontaneous coronary dissection associated with sleep deprivation presenting with acute myocardial infarction

Soon Yong Suh, Jin Won Kim, Cheol Ung Choi, Eung Ju Kim, Seung Woon Rha, Chang Gyu Park, Hong Seog Seo, Dong Joo Oh

    Research output: Contribution to journalArticlepeer-review

    12 Citations (Scopus)

    Abstract

    Spontaneous coronary dissection is a rare cause of myocardial ischemia, myocardial infarction and sudden cardiac death. Idiopathic spontaneous coronary artery dissection (SCAD) occurs in patient without risk factors for coronary artery disease and without underlying pregnancy. We describe a case of idiopathic spontaneous coronary dissection after sleep deprivation presenting with acute myocardial infarction. A 40 year old woman presented to an emergency department with squeezing substernal chest pain lasting 1 hour following 72 h sleep deprivation due to overtime work. On admission, ECG showed no significant ST change. But the level of CK-MB and Troponin T were increased up to 77.54 ng/ml and 1.62 ng/ml, respectively. Emergent coronary angiography demonstrated a longitudinal dissection of the middle portion in the diagonal artery with TIMI III flow to the distal part of the vessel. Because the dissected vessel was too small to pass the intravascular ultrasound (IVUS) and deploy the stent, angioplasty was not performed. Under medical treatment with aspirin, clopidogrel and unfractionated heparin, conservative management was proposed; she remained free of symptom and discharged free of chest pain and in good condition.

    Original languageEnglish
    Pages (from-to)e78-e79
    JournalInternational Journal of Cardiology
    Volume115
    Issue number2
    DOIs
    Publication statusPublished - 2007 Feb 7

    Keywords

    • AMI
    • SCAD
    • Sleep deprivation

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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