Document Type

Article

Publication Date

5-5-2023

Publication Title

Cureus

Keywords

spodick's sign, type ii diabetes, idiopathic pericarditis, st elevations, left anterior descending artery (lad), atypical spontaneous coronary artery dissection, left heart catheterization, intravascular ultrasound (ivus), acute myopericarditis, spontaneous coronary dissection

ISSN

2168-8184

Volume

15

Issue/No.

5

First Page

e38570

Abstract

We report a 33-year-old male with uncontrolled type II diabetes, and tobacco and marijuana use who presented with chest pain after a night of binge drinking and vomiting. ECG changes were consistent with acute pericarditis. Troponin levels were found to be significantly elevated and rising. The patient was immediately treated with acetylsalicylic acid (ASA), morphine, nitroglycerin drip, and heparin drip. Echocardiogram showed preserved ejection fraction (EF) without effusion. Coronary angiography demonstrated a type I spontaneous coronary artery dissection (SCAD) of the mid-left anterior descending artery (LAD) without significant coronary artery disease. Diagnostic intravenous ultrasound (IVUS) confirmed a type I SCAD with penumbra and a minimal luminal area of 10 mm

Comments

Acknowledgements

Cullen Nisson and Yeily Hernandez Mato contributed equally to the work and should be considered co-first authors.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

DOI

10.7759/cureus.38570

Download
Peer Reviewed

Share

COinS