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  2. Keyword: Blood Vessel Dissection
Figure 1
ABCIC
Case Report

Coronary Artery Dissection Following Pharmacologic Stress Echocardiography and the Follow-Up of Clinical Management: A Case Report

Thiago Artioli et al. Bruno Querido Marcondes Santos Denis Cárdenas Monteiro Layane Bonfante Batista … Matheus Zavaris Lorenzoni Hsu Gwo Jen Kelvyn Melo Vital Kelvin Henrique Vilalva

Introduction

Spontaneous coronary artery dissection (SCAD) remains a diagnostic and therapeutic challenge in the evaluation of chest pain. Misinterpretation of symptom characteristics and failure to consider the patient’s epidemiological profile may lead to inappropriate diagnostic workups and treatment strategies. The case described herein represents only the second report with similar characteristics published in major medical databases. This case underscores the importance of considering uncommon causes of chest pain and acute coronary syndrome (ACS), while also providing a brief review of relevant literature. The report was prepared in accordance with the CAse REport (CARE) guidelines.

[…]

  • Blood Vessel Dissection
  • Case Reports
  • Coronary Disease
  • Stress echocardiography
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Creative Commons Attribution (CC BY) Creative Commons license
01/07/2025 DOI: 10.36660/abcimg.20250034i Views 2
Figures 1a and 1b
IJCS
Case Report

Acute Ischemic Stroke as the Only Clinical Manifestation of Spontaneous Coronary Artery Dissection in an Athlete: A Case Report

Isabela Martins Rodrigues et al. Dennis Miguel Lemos da Silva Fabiane Mian de Souza Gustavo Nahuel Leyes Ontivero … Rodrigo Penha de Almeida João Lucas O’Connel

Introduction

Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndrome. SCAD involves the spontaneous formation of an intramural hematoma in coronary arteries, frequently presenting as severe acute-onset chest pain. Although extremely rare, cases of acute ischemic stroke (AIS) secondary to SCAD have been reported in the literature,,none of which were secondary to intracoronary thrombus displacement.

In this report, we present the case of a 39-year-old man with no atherosclerotic risk factors who presented with AIS and myocardial infarction secondary to SCAD.

[…]

  • Acute coronary syndrome
  • Blood Vessel Dissection
  • Ischemic Stroke
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Creative Commons Attribution (CC BY) Creative Commons license
19/08/2024 DOI: 10.36660/ijcs.20230135 Views 1

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Artioli T, Santos BQM, Monteiro DC, Batista LB, Lorenzoni MZ, Jen HG, Vital KM, et al. Coronary Artery Dissection Following Pharmacologic Stress Echocardiography and the Follow-Up of Clinical Management: A Case Report. ABC Imagem Cardiovascular 2025;38(2):e20250034.

Electronic Document Format (ABNT)

Artioli, Thiago; Santos, Bruno Querido Marcondes; Monteiro, Denis Cárdenas; Batista, Layane Bonfante; Lorenzoni, Matheus Zavaris; Jen, Hsu Gwo; Vital, Kelvyn Melo; Vilalva, Kelvin Henrique. Coronary Artery Dissection Following Pharmacologic Stress Echocardiography and the Follow-Up of Clinical Management: A Case Report. ABC Imagem Cardiovascular, v. 38, n. 2, e20250034, Jun. 2025.

Electronic Document Format (APA)

Artioli, T., Santos, B. Q. M., Monteiro, D. C., Batista, L. B., Lorenzoni, M. Z., Jen, H. G., Vital, K. M., & Vilalva, K. H. (2025). Coronary Artery Dissection Following Pharmacologic Stress Echocardiography and the Follow-Up of Clinical Management: A Case Report. ABC Imagem Cardiovascular, 38(2), e20250034.

Electronic Document Format (ISO)

Artioli, Thiago and Santos, Bruno Querido Marcondes and Monteiro, Denis Cárdenas and Batista, Layane Bonfante and Lorenzoni, Matheus Zavaris and Jen, Hsu Gwo and Vital, Kelvyn Melo and Vilalva, Kelvin Henrique. Coronary Artery Dissection Following Pharmacologic Stress Echocardiography and the Follow-Up of Clinical Management: A Case Report. ABC Imagem Cardiovascular [online]. 2025, vol. 38, n. 2, [cited 2026-10-14], e20250034. Available from: <https://journals.cardiol.br/en/article/coronary-artery-dissection-following-pharmacologic-stress-echocardiography-and-the-follow-up-of-clinical-management-a-case-report/>. ISSN 2318-8219

EndNote RIS

Electronic Document Format (Vancouver)

Rodrigues IM, Silva DML, Souza FM, Ontivero GNL, Almeida RP, O’Connel JL. Acute Ischemic Stroke as the Only Clinical Manifestation of Spontaneous Coronary Artery Dissection in an Athlete: A Case Report. International Journal of Cardiovascular Sciences 2024;37:e20230135.

Electronic Document Format (ABNT)

Rodrigues, Isabela Martins; Silva, Dennis Miguel Lemos da; Souza, Fabiane Mian de; Ontivero, Gustavo Nahuel Leyes; Almeida, Rodrigo Penha de; O’Connel, João Lucas. Acute Ischemic Stroke as the Only Clinical Manifestation of Spontaneous Coronary Artery Dissection in an Athlete: A Case Report. International Journal of Cardiovascular Sciences, v. 37, e20230135, Aug. 2024.

Electronic Document Format (APA)

Rodrigues, I. M., Silva, D. M. L. , Souza, F. M. , Ontivero, G. N. L., Almeida, R. P. , & O’Connel, J. L. (2024). Acute Ischemic Stroke as the Only Clinical Manifestation of Spontaneous Coronary Artery Dissection in an Athlete: A Case Report. International Journal of Cardiovascular Sciences, 37, e20230135.

Electronic Document Format (ISO)

Rodrigues, Isabela Martins and Silva, Dennis Miguel Lemos da and Souza, Fabiane Mian de and Ontivero, Gustavo Nahuel Leyes and Almeida, Rodrigo Penha de and O’Connel, João Lucas. Acute Ischemic Stroke as the Only Clinical Manifestation of Spontaneous Coronary Artery Dissection in an Athlete: A Case Report. International Journal of Cardiovascular Sciences [online]. 2024, vol. 37, [cited 2026-10-14], e20230135. Available from: <https://journals.cardiol.br/en/article/acute-ischemic-stroke-as-the-only-clinical-manifestation-of-spontaneous-coronary-artery-dissection-in-an-athlete-a-case-report/>. ISSN 2359-4802

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