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. 2020 Nov 22;146:110410. doi: 10.1016/j.mehy.2020.110410

Table 2.

Reported cases of spontaneous coronary artery dissection in patients with COVID-19.

Author Age/Sex PMH Presentation Angiography findings COVID diagnosis Treatment
Kumar [26] 48/F Migraine, hyperlipidemia Severe retrosternal chest pain SCAD (LAD); tapered compression of 70% was noted at the mid through distal LAD with reconstitution at the apex. Delayed contrast washout was noted in the proximal LAD indicating the proximal extent of the dissection. Positive nasopharyngeal swab Medical therapy (aspirin 81 mg daily and clopidogrel 75 mg daily)
Courand [31] 55/M Peripheral artery disease Cough, fever, dyspnea, chest pain SCAD (RCA); total occlusion of the posterior descending artery with epicardial collateral from the left anterior descending artery. In the mid-right coronary artery, a spontaneous dissecting coronary hematoma was observed with an intimal tear. Positive PCR Conservative management (aspirin, statins, and beta-blockers)
Albiero [32] 70/M Smoking, hypertension, type 2 diabetes, prior PCI Persistent severe chest pain SCAD (LAD); moderate in-stent restenosis on LCx-OM and a moderate RCA stenosis. The culprit lesion was the proximal LAD that presented with a very complex and unusual plaque morphology, indicative of a coronary artery dissection. Positive RT-PCR PCI/discharged with: aspirin 100 mg/day, clopidogrel 75 mg/day, pantoprazole 40 mg/day, atorvastatin 40 mg/day, bisoprolol 1.25 mg/day, and metformin 850 mg three times a day.
Fernandez Gasso [33] 39/M Unremarkable Fever, cough, myalgia, oppressive chest pain, and dyspnea at rest SCAD (LAD, OM): large and severe lumen narrowing in the first OM bordered by normal segments compatible with type 2A SCAD; moderate lumen narrowing in the distal LAD that extended to the end of the artery compatible with type 2B SCAD; a mild fistula between the proximal segment of the RCA and the pulmonary artery. Positive nasopharyngeal and oropharyngeal swabs Conservative therapy

Abbreviations: LAD: left anterior descending, LCx: left circumflex artery, OM: obtuse marginal, PCI: percutaneous coronary intervention, PCR: polymerase chain reaction, RCA: right coronary artery, RT-PCR: real time polymerase chain reaction, SCAD: spontaneous coronary artery dissection