Marijuana and Coronary Dissection: A Case Report and Review of Literature.
Marijuana and Coronary Dissection: A Case Report and Review of Literature.
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DOI：
10.12691/ajmcr-9-3-11
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发表时间：
2021-01-01
期刊：
影响因子：
--
通讯作者：
McFarlane, Isabel M
中科院分区：
文献类型：
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作者：
Kariyanna, Pramod Theetha;Chandrakumar, Harshith Priyan;McFarlane, Isabel M
自发性冠状动脉夹层（SCAD）是一种心脏急症，也是急性冠状动脉综合征（ACS）的一种罕见原因，在年轻女性中更常见。它是一种非创伤性、非动脉粥样硬化性病变，发现与妊娠、炎症性疾病、结缔组织疾病和药物滥用有关。我们的病人是一位有长期吸食大麻病史的年轻女性，她被发现患有NSTEMI。首次血管造影显示三支血管病变，涉及左前降支（LAD）、左回旋支（LCX）和钝缘动脉（OM）。重复血管造影明显显示所有三条血管均自发进展，夹层可归因于药物滥用。我们向您介绍这种罕见的三血管SCAD继发于大麻的文献综述和讨论。
Spontaneous coronary artery dissection (SCAD) is a cardiac emergency and an uncommon cause of acute coronary syndrome (ACS) with a higher predominance in younger women. It is a non-traumatic, non-atherosclerotic lesion found to be associated with pregnancy, inflammatory disorders, connective tissue diseases and substance abuse. Our patient was a young woman with a chronic marijuana smoking history who was found to have a NSTEMI. Initial angiogram showed triple vessel disease involving left anterior descending artery (LAD), left circumflex artery (LCX) and obtuse marginal artery (OM). A repeat angiogram notably showed spontaneous progression with dissection in all three vessels attributable to substance abuse. We present you this rare occurrence of triple vessel SCAD secondary to marijuana with a literature review and discussion.