<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352022000100026</article-id>
<article-id pub-id-type="doi">10.35366/104035</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Spontaneous coronary artery dissection associated with exercise as a cause of cardiac arrest]]></article-title>
<article-title xml:lang="es"><![CDATA[Disección coronaria espontánea asociada a ejercicio como causa de parada cardíaca]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Rueda]]></surname>
<given-names><![CDATA[Jhon Edwar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bermúdez-Flórez]]></surname>
<given-names><![CDATA[Angélica María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Londoño-García]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saavedra-González]]></surname>
<given-names><![CDATA[Yesid Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pablo Tobón Uribe Hospital Adult Hospitalization Department ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,University of Antioquia Faculty of Medicine ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pablo Tobón Uribe Hospital Cardiology Department ]]></institution>
<addr-line><![CDATA[Medellin ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>26</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352022000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352022000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352022000100026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction, mainly occurring in young and middle-aged people without cardiovascular risk factors. The clinical presentation depends on the degree of involvement and can range from chest pain in 85-96% of cases, acute coronary syndrome with ST-elevation (STEACS) in 20-50%, ventricular arrhythmias in 3-5%, cardiogenic shock in 2%, sudden death or cardiac tamponade. Some predisposing factors include female gender, pregnancy, age. Coronary angiography is the method of choice for diagnosis and classification. Regarding its treatment, conservative management is preferred in stable patients. The case of a patient with STEACS and cardiac arrest secondary to spontaneous coronary dissection while performing a physical activity is presented.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La disección coronaria espontánea (DCE) es una causa poco frecuente de infarto agudo de miocardio, principalmente se presenta en personas jóvenes y de edad media sin factores de riesgo cardiovascular. La presentación clínica depende del grado de afectación y puede ir desde dolor torácico en 85-96% de los casos, síndrome coronario agudo con elevación del ST (SCACEST) en 20-50%, arritmias ventriculares en 3-5%, choque cardiogénico en 2%, muerte súbita o taponamiento pericárdico. Existen algunos factores predisponentes como sexo femenino, embarazo, edad &lt; 50 años, tratamiento hormonal, enfermedades del tejido conectivo (síndrome de Ehlers-Danlos vascular, síndrome de Marfan) y displasia fibromuscular. Así mismo, se han identificado algunos factores desencadenantes como el estrés emocional y físico, ejercicio intenso isométrico y levantamiento de pesas. La angiografía coronaria es el método de elección para hacer el diagnóstico y clasificación. Con relación a su tratamiento, se prefiere en la mayoría de los casos un manejo conservador sobre la revascularización en pacientes estables. Se presenta el caso de un paciente con SCACEST y parada cardiaca secundaria a disección coronaria espontánea mientras realizaba actividad física.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Spontaneous coronary artery dissection]]></kwd>
<kwd lng="en"><![CDATA[acute coronary syndrome]]></kwd>
<kwd lng="en"><![CDATA[coronary artery disease]]></kwd>
<kwd lng="es"><![CDATA[Disección coronaria espontánea]]></kwd>
<kwd lng="es"><![CDATA[síndrome coronario agudo]]></kwd>
<kwd lng="es"><![CDATA[arteriopatía coronaria]]></kwd>
</kwd-group>
</article-meta>
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