Stress Cardiomyopathy and Spontaneous Coronary Artery Dissection: Linked or Overlooked?

This case series aimed to explore the association between spontaneous coronary artery dissection (SCAD) and stress cardiomyopathy (SCM), which are conditions that share similar features can present as acute syndrome. Both be precipitated by emotional and/or physical stressors. Diagnosis is with angiogram for SCAD, echocardiogram SCM. It less common people have of both. The overlap syndrome becomes evident if territory involved incongruent left ventricular (LV) regional wall motion abnormality (RWMA). single-centre identified cases possible SCAD. Patients were searched individually, using an electronic health database (Health Connect South) through discharge summaries over a 2-year period. Cases likely diagnosis both SCAD identified. echocardiographic abnormalities included LV apical hypo/akinesis in all cases. In most cases, was confined mid distal anterior descending (LAD) artery. Two multiple arteries. able clearly see coexistence some However, two under-recognised. proposed invasive or computerised tomography actively reviewed diagnose patients SCM, early repeat imaging essential identify