Recurrent Myocardial Infarction Due to Spontaneous Coronary Artery Dissection in a Young Female with Rheumatoid Arthritis: A Case Report

Authors

  • Umar Farooq Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan
  • Ali Haider Awan Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan
  • Shafaq Saleem Benazir Bhutto Hospital, Rawalpindi, Pakistan
  • Iqra Fayyaz Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan
  • Sana Ahmad Benazir Bhutto Hospital, Rawalpindi, Pakistan

DOI:

https://doi.org/10.47144/phj.v57i3.2818

Abstract

Spontaneous coronary artery dissection (SCAD) is an uncommon but significant cause of myocardial infarction (MI) in young women who do not present with traditional cardiovascular risk factors. This case report details the presentation of a 36-year-old female with recurrent myocardial infarctions, characterized by chest pain, ECG abnormalities, and angiographic evidence of coronary dissection. Concurrently diagnosed with rheumatoid arthritis (RA), her repeated cardiac events were attributed to SCAD. The chronic inflammatory state associated with RA, along with autoimmune vasculitis, connective tissue abnormalities, and possible effects of RA medications, likely contributed to the development of SCAD. This case highlights the critical need to recognize SCAD as a potential diagnosis in young women, particularly those with autoimmune conditions, and underscores the importance of considering autoimmune disorders as a contributing factor in the pathogenesis of SCAD.

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Published

2024-09-30

How to Cite

1.
Farooq U, Awan AH, Saleem S, Fayyaz I, Ahmad S. Recurrent Myocardial Infarction Due to Spontaneous Coronary Artery Dissection in a Young Female with Rheumatoid Arthritis: A Case Report. Pak Heart J [Internet]. 2024Sep.30 [cited 2024Dec.7];57(3):254-8. Available from: https://www.pakheartjournal.com/index.php/pk/article/view/2818