Spontaneous coronary dissection

The authors assert that spontaneous coronary dissection is a rare cause of acute coronary syndrome (ACS). Common risk factors for developing this condition were ruled out. No previous case of three-vessel coronary artery dissection related to carmabis use has been reported in the literature. However, previous reports have shoxvn a possible association between ACS and cannabis use. Cannabis is generally considered to be a drug of low toxicity but this and other cases highlight a need to exercise caution. 

Spontaneous acute coronary dissection after cocaine abuse has been reported (79). 

Spontaneous coronary artery dissection is an unusual cause of acute coronary syndrome. Only three other cases secondary to cocaine use have been described. 

Davoli G. Spontaneous acute coronary dissection after 100. cocaine abuse in a young woman. Can J Cardiol 2003 19 297-9. 

Steinhauer JR, Caulfield JB. Spontaneous coronary artery dissection associated with cocaine use a case report and 112. brief review. Cardiovasc Pathol 2001 10(3) 141-5. 

Roig S, Gomez S, Fiol M et al. Spontaneous coronary artery dissection causing acute coronary syndrome an early diagnosis implies a good prognosis. Am J Emerg Med 2003 29 549. 

There are causes of infarctions other than acute atherothrombotic coronary occlusion. For example, prolonged vasospasm can induce infarction, and spontaneous dissection is becoming more commonly appreciated, especially in pregnant females. Other conditions (Box 44-1) can also cause the death of cardiomyocytes and lead to a biochemical signal of myocyte damage, but these entities should not be confused with myocardial infarction. Some of these injurious stimuli include (1) trauma that may precip-... 

Filali T, Lahidheb D, Gommidh M, Jdaida B, Hajlaoui N, Fehri W, et al. Spontaneous multivessel coronary artery dissection associated with cannabis use. J Cardiol Cases 2013 7 e4—7. 

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