Spontaneous coronary artery dissection

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Symptoms

By Mayo Clinic staff

Signs and symptoms of spontaneous coronary artery dissection include:

  • Chest pain
  • A rapid heartbeat or fluttery feeling in the chest
  • Pain in your arms, shoulders or jaw
  • Shortness of breath
  • Sweating
  • Unusual, extreme tiredness
  • Nausea
  • Dizziness

When to see a doctor
If you experience chest pain or suspect you're having a heart attack, immediately call 911 or your local emergency number. If you don't have access to emergency medical services, have someone drive you to the nearest hospital. Drive yourself only as a last resort.

Causes Definition
References
  1. Tweet SM, et al. Clinical features, management and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126:579.
  2. Vrints CJM. Spontaneous coronary artery dissection. Heart. 2010;806:91.
  3. Alfonso F, et al. Spontaneous coronary artery dissection: Long-term follow-up of a large series of patients prospectively managed with a "conservative" therapeutic strategy. JACC: Cardiovascular Interventions. 2012;5:1062.
  4. Glamore MJ, et al. Spontaneous coronary artery dissection. Journal of Cardiac Surgery. 2012;27:56.
  5. Ito H, et al. Presentation and therapy of spontaneous coronary artery dissection and comparisons of postpartum versus nonpostpartum cases. American Journal of Cardiology. 2011;107:1590.
  6. Don't take a chance with a heart attack: Know the facts and act fast. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/public/heart/mi/heart_attack_fs_en.htm. Accessed Jan. 11, 2013.
  7. NINDS Fibromuscular dysplasia information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/fibromuscular_dysplasia/fibromuscular_dysplasia.htm. Accessed Jan. 10, 2013.
  8. What is coronary angiography? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/ca. Accessed Jan. 11, 2013.
  9. What is a stent? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/stents. Accessed Jan. 14, 2013.
  10. What is coronary artery bypass grafting? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/cabg. Accessed Jan. 14, 2013.
  11. Coping with feelings. American Heart Association. http://www.heart.org/HEARTORG/Conditions/More/CardiacRehab/Coping-with-Feelings_UCM_307092_Article.jsp. Accessed Jan. 14, 2013.
  12. Hayes SN (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 17, 2013.
  13. What is cardiac rehabilitation? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/rehab. Accessed Jan. 21, 2013.
DS01209 Feb. 15, 2013

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