Spontaneous coronary artery dissection in cardiac sarcoidosis

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dc.contributor University of Helsinki, HUS Heart and Lung Center en
dc.contributor University of Helsinki, Kardiologian yksikkö en
dc.contributor University of Helsinki, Kimmo Kontula / Principal Investigator en
dc.contributor University of Helsinki, HUS Heart and Lung Center en
dc.contributor.author Kandolin, Riina
dc.contributor.author Ekström, Kaj
dc.contributor.author Simard, Trevor
dc.contributor.author Hibbert, Benjamin
dc.contributor.author Nery, Pablo
dc.contributor.author Lehtonen, Jukka
dc.contributor.author Kupari, Markku
dc.contributor.author Birnie, David
dc.date.accessioned 2020-01-10T09:59:01Z
dc.date.available 2020-01-10T09:59:01Z
dc.date.issued 2019-05
dc.identifier.citation Kandolin , R , Ekström , K , Simard , T , Hibbert , B , Nery , P , Lehtonen , J , Kupari , M & Birnie , D 2019 , ' Spontaneous coronary artery dissection in cardiac sarcoidosis ' , Oxford medical case reports , vol. 2019 , no. 5 , pp. 212-215 . https://doi.org/10.1093/omcr/omz033 en
dc.identifier.issn 2053-8855
dc.identifier.other PURE: 129781779
dc.identifier.other PURE UUID: 3f5c257b-2eff-4106-85fa-3250b17925aa
dc.identifier.other WOS: 000491901500007
dc.identifier.uri http://hdl.handle.net/10138/309225
dc.description.abstract Cardiac sarcoidosis (CS) is increasingly recognized as a cause of diverse cardiac manifestations. Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary syndrome especially among young females. The prevalence of sarcoidosis in the causal spectrum of SCAD has not been described before but sarcoidosis is cited as a potential yet rare cause of SCAD. We aimed to examine the frequency and characteristics of SCAD in CS. Searching two prospective CS registries with 481 CS patients, we found only one case of manifest SCAD. She is a 61-year-old female previously diagnosed with endomyocardial biopsy confirmed CS. She presented with chest pain and elevated troponin. Coronary angiogram revealed two-vessel SCAD. Fluorodeoxyglucose positron emission tomography scan showed likely reactivation of CS. The patient was treated with dual antiplatelet therapy and immunosuppression. Repeat angiogram showed complete resolution of the coronary lesions. en
dc.format.extent 4
dc.language.iso eng
dc.relation.ispartof Oxford medical case reports
dc.rights en
dc.subject 3121 Internal medicine en
dc.title Spontaneous coronary artery dissection in cardiac sarcoidosis en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1093/omcr/omz033
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion

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