An Unusual Presentation of Cardiogenic Shock in the Emergency Department

• 作者: Daniel McCollum Frank Dicker
• 来源期刊: 急诊医学(英文)
• 学科: 医学
• 关键词: CARDIOGENIC Shock MYOCARDIAL INFARCTION SCAD SPONTANEOUS CORONARY Artery DIs Section
• 年，卷（期）: 2017,（2）
• 页码范围: 37-42
• 页数: 6页
• 分类号: R5

摘要

A 51-year old female with a history of multiple sclerosis presented to the emergency department with hypotension and fatigue. She was found to be in cardiogenic shock. Her initial EKG was concerning for STEMI and her troponin was positive. She was eventually diagnosed with spontaneous coronary artery dissection. This case report discusses her presentation, management, and clinical course. We emphasize the need for emergency medicine physicians to be concerned for SCAD, especially in women with a history of fibromuscular dysplasia, connective tissue disorders, or peri-partum status.