ArticleJACC. Case reports2025
Unmasking Spontaneous Coronary Artery Dissection in a Patient With Misleading Symptoms and Initial Imaging Results.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpontaneous coronary artery dissection is often missed by conventional, and even invasive diagnostic approaches in patients presenting with acute coronary syndrome. CASE SUMMARY: A 32-year-old man was admitted to the emergency department with acute chest pain after emotional distress. ST-segment elevations and elevated troponin levels were documented. Invasive coronary angiography showed no obstructive coronary artery disease but suspected spasm of the left anterior descending artery. Takotsubo syndrome was considered to be caused by apical wall motion abnormalities on echocardiography. Cardiovascular magnetic resonance imaging revealed ischemic myocardial injury, prompting second-look invasive coronary angiography including optical coherence tomography. A spontaneous coronary artery dissection of the left anterior descending artery with an intramural hematoma and preserved TIMI flow grade 3 was diagnosed, leading to conservative medical management. DISCUSSION: Although conventional diagnostic assessments may be misleading, multimodal imaging including cardiovascular magnetic resonance imaging helps to accurately identify subentities and mimics of myocardial infarction with nonobstructive coronary arteries, guiding advanced intravascular imaging and therapy.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.