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Case Reports in Cardiology
Volume 2015 (2015), Article ID 167243, 3 pages
http://dx.doi.org/10.1155/2015/167243
Case Report

Multivessel Spontaneous Coronary Artery Dissection in an Unlikely Patient

1Raritan Bay Medical Center, Perth Amboy, NJ 08861, USA
2Ross University School of Medicine, Portsmouth, Dominica

Received 24 October 2014; Revised 16 March 2015; Accepted 17 March 2015

Academic Editor: Tayfun Sahin

Copyright © 2015 Waqas Jehangir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

When approaching the symptom of acute onset chest pain in a previously healthy 26-year-old male, anchoring heuristic presents a challenge to healthcare workers. This diagnostic error is the healthcare professional’s tendency to rely on a previous diagnosis, and, in situations where a set of symptoms might mask a rare and deadly condition, this error can prove fatal for the patient. One such condition, Spontaneous Coronary Artery Dissection (SCAD), is an uncommon and malefic presentation of coronary artery disease that can lead to myocardial infarction and sudden death. We present a case of SCAD in an otherwise healthy 26 year-old male who had been experiencing chest pain during and after sports activity. In the young, athletic male with SCAD, the danger of diagnostic error was a reality due to the broad symptomatology and the betraying demographics.