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Spontaneous Coronary Artery Dissection in a Female with Hypertension: A Case Report and Discussion

Bhagwagar S1, Menon T1, Ameera C Mistry2*, Richard Pham3

Spontaneous Coronary Artery Dissection (SCAD) has become a significant contributor to acute coronary syndrome, myocardial infarction, and sudden death especially in young women and individuals with minimal traditional atherosclerotic risk factors. This case of a 53-year-old female patient, with a past medical history of hypertension and multiple sclerosis, was readmitted to the hospital with a chief complaint of chest pain. She was ultimately diagnosed with SCAD of the left circumflex artery that originated in the distal left main artery, and terminated in the posterior descending artery and obtuse marginal branch artery. The most likely etiology of her SCAD was due to uncontrolled hypertension. She was managed non-operatively with medical management of her blood pressure and given a heparin drip. She was instructed to follow up closely with cardiology in the outpatient setting.