Canadian Journal of Cardiology
Case Report| Volume 32, ISSUE 3, P395.e7-395.e8, March 2016

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Corticosteroids and Spontaneous Coronary Artery Dissection: A New Predisposing Factor?


      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.


      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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