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Multivessel Spontaneous Coronary Artery Dissection in a Patient with Severe Systolic Hypertension: A Possible Association

A Case Report

Department of Medicine, Mercy Catholic Medical Center, Darby, Pennsylvania.

Gupreet S. Kochar, MD

Department of Medicine, Mercy Catholic Medical Center, Darby, Pennsylvania.

M. Anthony Albornoz, MD

Department of Medicine, Mercy Catholic Medical Center, Darby, Pennsylvania.

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of myocardial ischemia and infarction. Hypertension has not been associated with SCAD. The authors report multivessel SCAD in an elderly woman with severe systolic hypertension. They postulate that hypertension of this degree may play a pathophysiologic role in the causation of SCAD.

Angiology, Vol. 50, No. 6, 509-513 (1999)
DOI: 10.1177/000331979905000610


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