A special thanks to Dr. Ian Chernoff, the guest expert on the EM Cases podcast that inspired this column.

Dr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website.

References

1. Hayes SN, Kim ESH, Saw J, et al. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 2018;137(19):e523-e557.
2. Haywood ST, Patel K, Gallo D, et al. Throws of Death: Traumatic Coronary Artery Dissection Resulting From Jiu Jitsu Training. J Emerg Med. 2020;58(1):63-66.
3. Christensen MD, Nielsen PE, Sleight P. Prior blunt chest trauma may be a cause of single vessel coronary disease; hypothesis and review. Int J Cardiol. 2006;108(1):1-5.
4. Lobay KW, MacGougan CK. Traumatic coronary artery dissection: a case report and literature review. J Emerg Med. 2012;43(4):e239-e243.
5. Mubang RN, Hillman Terzian WT, et al. Acute myocardial infarction following right coronary artery dissection due to blunt trauma. Heart Views. 2016;17(1):35-38.
6. Clancy K, Velopulos C, Bilaniuk JW, et al. Screening for blunt cardiac injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5 Suppl 4):S301-S306.