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| ! align="center" style="background: #4479BA; color: #FFFFFF |Patient | | ! align="center" style="background: #4479BA; color: #FFFFFF |Disease name |
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| ! align="center" style="background: #4479BA; color: #FFFFFF |Symptoms | | ! align="center" style="background: #4479BA; color: #FFFFFF |Symptoms |
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| ! align="center" style="background: #4479BA; color: #FFFFFF |Past medical history and risk factors | | ! align="center" style="background: #4479BA; color: #FFFFFF |Laboratory findings |
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| ! align="center" style="background: #4479BA; color: #FFFFFF |Laboratory findings
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| ! align="center" style="background: #4479BA; color: #FFFFFF |Treatment
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| | 55 year old, male ,admitted due | | | Alzheimer's disease |
| to cough and [[Fever|febrile]] [[dyspnea]]
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| with suspected [[COVID-19]].<ref name="urlSpontaneous Coronary Artery Dissection in a Patient With COVID-19 | JACC: Cardiovascular Interventions">{{cite web |url=https://interventions.onlinejacc.org/content/13/12/e107 |title=Spontaneous Coronary Artery Dissection in a Patient With COVID-19 | JACC: Cardiovascular Interventions |format= |work= |accessdate=}}</ref>
| | | Chronic, gradually progressive neurodegenerative disease. |
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| | 48 hrs after admission had
| | * Slow onset of dementia, |
| [[chest pain]]
| | * No motor, sensory or deficits in co ordination early in the disease |
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| |[[Peripheral arterial disease|Peripheral artery disease]] | | |On CSF exam: |
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| | * Elevated Tau protein |
| * [[The electrocardiogram|EKG]]: Inverted T waves in the inferior leads | |
| *[[Troponin I]] was elevated {Hs-TnI was at 355 ng/l, then 570 ng/l
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| 3 h later (normal values <7 ng/l)}
| | [[Neurofibrillary tangle|Neurofibrillary tangles]] |
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| * [[Transthoracic echocardiography]]:Left ventricular [[ejection fraction]]
| | [[Senile plaques|Senile (neuritic) plaques]] |
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| 60% without wall motion abnormalities, no [[Diastole|diastolic]] dysfunction,
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| and a mild [[mitral regurgitation]]
| | |Lewy Body Dementia |
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| * [[Coronary angiography|Coronary angiogram]] : Chronic total [[occlusion]] of the posterior | | | |
| | * Dementia with cognitive impairment |
| | * Visual hallucinations |
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| descending artery with [[epicardial]] collateral from the left anterior descending artery.
| | * Parkinsonism |
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| In the mid-right coronary artery, a spontaneous dissecting coronary [[hematoma]] was observed with an intimal tear.
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| * Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]): spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery
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| | |Frontotemporal Dementia |
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| | |Vasculitis |
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| | |Hashi moto encephalopathy |
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| | |Electrolyte Imbalance |
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| | |Vitamin B1 deficiency |
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| | |Wilson's disease |
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| | |Heavy metal intoxication |
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| | |Hepatic Encephalopathy |
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| | |HIV- related mental status change |
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| | |Lyme disease |
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| | |Syphilis |
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| | |CNS malignancy |
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| *[[Aspirin]], [[Statins]], and [[Beta blockers|Beta-blockers]].
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| * Subsequent control of coronary angiogram was planned.
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| | | |Psychiatric conditions |
| |70-year-old, male<ref name="SeresiniAlbiero2020">{{cite journal|last1=Seresini|first1=Giuseppe|last2=Albiero|first2=Remo|last3=Liga|first3=Riccardo|last4=Camm|first4=Christian Fielder|last5=Liga|first5=Riccardo|last6=Camm|first6=Christian Fielder|last7=Thomson|first7=Ross|title=Atherosclerotic spontaneous coronary artery dissection (A-SCAD) in a patient with COVID-19: case report and possible mechanisms|journal=European Heart Journal - Case Reports|year=2020|issn=2514-2119|doi=10.1093/ehjcr/ytaa133}}</ref> | |
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| |Severe , persistent chest pain ( 8/10), which started 3 hrs before admission
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| |Smoking, [[Hypertension]], and Type 2 diabetes,
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| H/O [[percutaneous coronary intervention]] (PCI) with implantation of a [[Drug eluting stent|drug-eluting stent]] (DES)
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| * EKG:new ST-T abnormalities in the [[Precordium|precordial]] leads
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| [[Image:70yr.png|thumb|700px|right|frame|ST-T abnormalities in the precordial leads.]]<ref name="SeresiniAlbiero2020">{{cite journal|last1=Seresini|first1=Giuseppe|last2=Albiero|first2=Remo|last3=Liga|first3=Riccardo|last4=Camm|first4=Christian Fielder|last5=Liga|first5=Riccardo|last6=Camm|first6=Christian Fielder|last7=Thomson|first7=Ross|title=Atherosclerotic spontaneous coronary artery dissection (A-SCAD) in a patient with COVID-19: case report and possible mechanisms|journal=European Heart Journal - Case Reports|year=2020|issn=2514-2119|doi=10.1093/ehjcr/ytaa133}}</ref>
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| * [[Echocardiography|Echocardiogram]]: Left ventricular [[ejection fraction]] 40–45% with [[akinesia]] in the LCx territory (old) and a severe [[Hypokinesia|hypokinesis]] in the left anterior ascending (LAD) territory.
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| * [[Coronary angiography|Coronary angiogram]]: moderate in-stent restenosis on LCx-OM and a moderate right coronary artery (RCA) stenosis
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| *[[Heparin]], [[Nitroglycerin (Sublingual tablet)|Sublingual nitroglycerin]], and [[Clopidogrel]]
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| * Angiogram was performed
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| | | |Paraneoplastic limbic encephalitis |
| |48‐year‐old, female <ref name="KumarVogt2020">{{cite journal|last1=Kumar|first1=Kris|last2=Vogt|first2=Joshua C.|last3=Divanji|first3=Punag H.|last4=Cigarroa|first4=Joaquin E.|title= | |
| Spontaneous coronary artery dissection of the left anterior descending artery in a patient with
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| COVID
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| ‐19 infection
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| |journal=Catheterization and Cardiovascular Interventions|year=2020|issn=1522-1946|doi=10.1002/ccd.28960}}</ref>
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| |History of severe chest pain that awoke her from sleep,9/10,severe,retrosternal tightness with radiation to neck and bilateral arms.
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| |[[Migraine]] and [[Hyperlipidemia]]
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| * Initial troponin I <0.01 with subsequent [[troponin I]] 0.5 ng/ml (reference range <0.80 ng/ml)
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| * [[Electrocardiogram]]: No acute ST changes or signs of ischemia
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| * [[Echocardiogram|Transthoracic echocardiogram]] : Left ventricular [[ejection fraction]] 45–50% and akinesis of the distal anteroseptal and apical segments
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| * [[Angiogram|Computed tomography coronary angiogram]]: LAD artery showed dissection from the mid‐to‐distal LAD
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| * Aspirin, [[Nitroglycerin (Sublingual tablet)|Sublingual nitroglycerin]]
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| |} | | |} |
| | <references /> |