Spontaneous coronary artery dissection is a rare entity, which pathogenesis is not clearly identified. Treatment strategies are not well defined and should be individualized for each patient. Although previous studies reported mortality rates as high as 70 %, recent experience showed survival rates of 78 % (1-2). The issue of combined use of anticoagulants and antiaggregants in medically treated patients is not clear yet. In this report, we describe an exercise-induced coronary artery dissection treated medically with an aggressive anticoagulant, antiaggregant and beta-blocker therapy.

Exercise-induced coronary artery dissection can be effectively treated with aggressive anticoagulant, antiaggregant, and beta-blocker therapy, leading to improved survival rates.

Exercise-induced coronary artery dissection treated with an anticoagulant and antiaggregants.

Key Takeaway: Exercise-induced coronary artery dissection can be effectively treated with aggressive anticoagulant, antiaggregant, and beta-blocker therapy, leading to improved survival rates.