Abstract
We describe the case of a 39-year-old woman with spontaneous coronary artery dissection
(SCAD) of the left circumflex artery. We postulate that her SCAD was precipitated
by high-dose corticosteroid use for the treatment of optic neuritis. The epidemiology
and known risk factors of SCAD are reviewed with an additional focus on the effect
of corticosteroids on the cardiovascular system.
Résumé
Nous rapportons le cas d'une femme de 39 ans avec une dissection spontanée de l'artère
coronaire (DSAC) de l'artère circonflexe gauche. Nous postulons que la DSAC a été
précipitée par l’utilisation de fortes doses de corticostéroïdes pour le traitement
d’une névrite optique. L'épidémiologie et les facteurs de risque connus pour la DSAC
sont résumés avec un accent particulier mis sur l'effet des corticoïdes sur le système
cardiovasculaire.
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References
- Spontaneous coronary artery dissection.Can J Cardiol. 2013; 29: 1027-1033
- Clinical features, management, and prognosis of spontaneous coronary artery dissection.Circulation. 2012; 126: 579-588
- Nonatherosclerotic coronary artery disease in young women.Can J Cardiol. 2014; 30: 814-819
- Adverse effects of corticosteroids on the cardiovascular system.Can J Cardiol. 2000; 16: 505-511
- Corticosteroids: do they damage the cardiovascular system?.Postgrad Med J. 1994; 70: 863-870
Article info
Publication history
Published online: June 24, 2015
Accepted:
June 18,
2015
Received:
May 15,
2015
Footnotes
See page 395.e8 for disclosure information.
Identification
Copyright
© 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
