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Inicio Revista Colombiana de Cardiología Angina inestable secundaria a disección coronaria espontánea
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Vol. 20. Issue 4.
Pages 233-239 (July - August 2013)
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Vol. 20. Issue 4.
Pages 233-239 (July - August 2013)
Open Access
Angina inestable secundaria a disección coronaria espontánea
Unstable angina secondary to spontaneous coronary dissection
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Nilson López1,
Corresponding author
nlopez@hptu.org.co

Correspondencia: Unidad de Cardiología, Hospital Pablo Tobón Uribe. Cl 78B 69-240. Medellín-Colombia.
1 Hospital Pablo Tobón Uribe. Medellín, Colombia
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La disección coronaria espontánea es una causa rara de infarto agudo del miocardio y puede debutar además como angina estable o síndrome de falla cardiaca. Se presenta el caso de una mujer de 35 años quien tuvo eventos recurrentes de dolor torácico en el primer mes de posparto y en quien se diagnosticó disección coronaria de la arteria circunfleja, la cual fue intervenida con stents medicados. Veinte meses después permanecía libre de síntomas y sin evidencia de isquemia miocárdica inducible.

Palabras clave:
angina
enfermedad de las arterias coronarias
ecocardiografía
coronariografía
angioplastia coronaria transluminal percutánea

Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction which may also occur as stable angina or heart failure syndrome. Here reported the case of a 35 years old woman who presented recurrent chest pain events in the first month of postpartum and in whom coronary dissection of the circumflex artery was diagnosed, which was intervened with drug eluting stents. Twenty months later she remained free of symptoms and with no evidence of inducible myocardial ischemia.

Key words:
angina
coronary artery disease
echocardiography
coronary angiography
percutaneous transluminal coronary angioplasty
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Copyright © 2013. Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
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