{"id":"https://openalex.org/W7213935830","doi":"https://doi.org/10.7759/cureus.116673","title":"A Bidirectional Relationship Between Spontaneous Coronary Artery Dissection and Stress-Induced Cardiomyopathy in a Perimenopausal Woman: A Case Report","display_name":"A Bidirectional Relationship Between Spontaneous Coronary Artery Dissection and Stress-Induced Cardiomyopathy in a Perimenopausal Woman: A Case Report","publication_year":2026,"publication_date":"2026-09-21","ids":{"openalex":"https://openalex.org/W7213935830","doi":"https://doi.org/10.7759/cureus.116673","pmid":"https://pubmed.ncbi.nlm.nih.gov/42923796","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13688006"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.116673","doi":"https://doi.org/10.7759/cureus.116673","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116673","pdf_url":"https://www.cureus.com/articles/514539-a-bidirectional-relationship-between-spontaneous-coronary-artery-dissection-and-stress-induced-cardiomyopathy-in-a-perimenopausal-woman-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/514539-a-bidirectional-relationship-between-spontaneous-coronary-artery-dissection-and-stress-induced-cardiomyopathy-in-a-perimenopausal-woman-a-case-report.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114623732","display_name":"Nitya Panyala","orcid":"https://orcid.org/0009-0005-1369-7323","observed_orcids":["https://orcid.org/0009-0005-1369-7323"]},"institutions":[{"id":"https://openalex.org/I2799974947","display_name":"Ball Memorial Hospital","ror":"https://ror.org/04d54np47","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283055418","https://openalex.org/I2799974947","https://openalex.org/I4388446366","https://openalex.org/I592451"]},{"id":"https://openalex.org/I4394709130","display_name":"Indiana University School of Medicine","ror":"https://ror.org/02ets8c94","country_code":"US","type":"education","lineage":["https://openalex.org/I4394709130","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nitya Panyala","raw_affiliation_strings":["Internal Medicine, Ball Memorial Hospital, Indiana University School of Medicine, Muncie, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Ball Memorial Hospital, Indiana University School of Medicine, Muncie, USA","institution_ids":["https://openalex.org/I2799974947","https://openalex.org/I4394709130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107292014","display_name":"MOHAMMAD FREIHAT","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799974947","display_name":"Ball Memorial Hospital","ror":"https://ror.org/04d54np47","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283055418","https://openalex.org/I2799974947","https://openalex.org/I4388446366","https://openalex.org/I592451"]},{"id":"https://openalex.org/I4394709130","display_name":"Indiana University School of Medicine","ror":"https://ror.org/02ets8c94","country_code":"US","type":"education","lineage":["https://openalex.org/I4394709130","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohammad Freihat","raw_affiliation_strings":["Internal Medicine, Ball Memorial Hospital, Indiana University School of Medicine, Muncie, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Ball Memorial Hospital, Indiana University School of Medicine, Muncie, USA","institution_ids":["https://openalex.org/I2799974947","https://openalex.org/I4394709130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015106677","display_name":"Amanjit Singh","orcid":"https://orcid.org/0000-0001-6992-9166","observed_orcids":["https://orcid.org/0000-0001-6992-9166"]},"institutions":[{"id":"https://openalex.org/I2799974947","display_name":"Ball Memorial Hospital","ror":"https://ror.org/04d54np47","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283055418","https://openalex.org/I2799974947","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanjit Singh","raw_affiliation_strings":["Internal Medicine, Ball Memorial Hospital, Muncie, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Ball Memorial Hospital, Muncie, USA","institution_ids":["https://openalex.org/I2799974947"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020114057","display_name":"Manuel Rivera","orcid":"https://orcid.org/0000-0002-5167-502X","observed_orcids":["https://orcid.org/0000-0002-5167-502X"]},"institutions":[{"id":"https://openalex.org/I2799974947","display_name":"Ball Memorial Hospital","ror":"https://ror.org/04d54np47","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283055418","https://openalex.org/I2799974947","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Manuel Rivera","raw_affiliation_strings":["Cardiology, Ball Memorial Hospital, Muncie, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Ball Memorial Hospital, Muncie, USA","institution_ids":["https://openalex.org/I2799974947"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5114623732"],"corresponding_institution_ids":["https://openalex.org/I2799974947","https://openalex.org/I4394709130"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.6955604,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e116673","last_page":"e116673"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12082","display_name":"Takotsubo Cardiomyopathy and Associated Phenomena","score":0.7836999893188477,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12082","display_name":"Takotsubo Cardiomyopathy and Associated Phenomena","score":0.7836999893188477,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12230","display_name":"Cardiovascular Issues in Pregnancy","score":0.20759999752044678,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.004699999932199717,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spontaneous-coronary-artery-dissection","display_name":"spontaneous coronary artery dissection","score":1.0},{"id":"https://openalex.org/keywords/takotsubo-cardiomyopathy","display_name":"takotsubo cardiomyopathy","score":0.9900000095367432},{"id":"https://openalex.org/keywords/perimenopause","display_name":"perimenopause","score":0.8209999799728394},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":0.7620000243186951},{"id":"https://openalex.org/keywords/women","display_name":"women","score":0.4429999887943268},{"id":"https://openalex.org/keywords/left-anterior-descending-artery","display_name":"left anterior descending artery","score":0.7590000033378601},{"id":"https://openalex.org/keywords/wall-motion-abnormalities","display_name":"wall motion abnormalities","score":0.781000018119812},{"id":"https://openalex.org/keywords/estrogen","display_name":"estrogen","score":0.5870000123977661},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.6520000100135803}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9918000102043152},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7616999745368958},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7555999755859375},{"id":"https://openalex.org/C2909230263","wikidata":"https://www.wikidata.org/wiki/Q4797558","display_name":"Artery dissection","level":4,"score":0.6491000056266785},{"id":"https://openalex.org/C2778797674","wikidata":"https://www.wikidata.org/wiki/Q847583","display_name":"Cardiomyopathy","level":3,"score":0.593999981880188},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.4846000075340271},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.37790000438690186},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.36559998989105225},{"id":"https://openalex.org/C2776857174","wikidata":"https://www.wikidata.org/wiki/Q7429613","display_name":"Scad","level":3,"score":0.30309998989105225},{"id":"https://openalex.org/C3019004856","wikidata":"https://www.wikidata.org/wiki/Q42297149","display_name":"Coronary angiography","level":3,"score":0.2847999930381775},{"id":"https://openalex.org/C2776383484","wikidata":"https://www.wikidata.org/wiki/Q283656","display_name":"Dilated cardiomyopathy","level":3,"score":0.2777000069618225}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.116673","doi":"https://doi.org/10.7759/cureus.116673","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116673","pdf_url":"https://www.cureus.com/articles/514539-a-bidirectional-relationship-between-spontaneous-coronary-artery-dissection-and-stress-induced-cardiomyopathy-in-a-perimenopausal-woman-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13688006","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13688006/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13688006/pdf/cureus-0018-00000116673.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42923796","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42923796","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.116673","doi":"https://doi.org/10.7759/cureus.116673","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116673","pdf_url":"https://www.cureus.com/articles/514539-a-bidirectional-relationship-between-spontaneous-coronary-artery-dissection-and-stress-induced-cardiomyopathy-in-a-perimenopausal-woman-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213935830.pdf","grobid_xml":"https://content.openalex.org/works/W7213935830.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W2070247508","https://openalex.org/W2901696129","https://openalex.org/W3056124666","https://openalex.org/W3174889699","https://openalex.org/W3194141710","https://openalex.org/W3202566418","https://openalex.org/W4224864446","https://openalex.org/W4391553370","https://openalex.org/W4399549936","https://openalex.org/W4407964946"],"related_works":["https://openalex.org/W7214935209","https://openalex.org/W4380758160","https://openalex.org/W7125169816","https://openalex.org/W4385377985","https://openalex.org/W7204451354","https://openalex.org/W3128902628","https://openalex.org/W4399517194","https://openalex.org/W3132654501","https://openalex.org/W2220628316","https://openalex.org/W4405476349"],"abstract_inverted_index":{"Spontaneous":[0],"coronary":[1,14,113,171],"artery":[2],"dissection":[3],"(SCAD)":[4],"and":[5,25,32,57,60,92,105,117,136],"stress-induced":[6],"cardiomyopathy":[7],"(SICM)":[8],"are":[9,107],"non-atherosclerotic":[10,109],"causes":[11,110],"of":[12,111],"acute":[13,112],"syndrome":[15,114],"that":[16,103,123],"predominantly":[17],"affect":[18],"women.":[19],"Their":[20,126],"overlapping":[21,121],"clinical,":[22],"electrocardiographic,":[23],"biomarker,":[24],"imaging":[26],"features":[27,122],"can":[28],"make":[29],"diagnosis":[30],"challenging,":[31],"although":[33],"their":[34,132],"coexistence":[35,127],"is":[36,128],"increasingly":[37],"recognized,":[38],"the":[39,71,84,101,149,169],"relationship":[40],"between":[41],"these":[42],"entities":[43],"remains":[44],"poorly":[45],"understood.":[46],"A":[47],"48-year-old":[48],"female":[49,134],"with":[50,55,74,87,120,160],"cardiovascular":[51],"risk":[52],"factors":[53],"presented":[54],"back":[56],"scapular":[58],"pain":[59],"ST-segment":[61],"elevations.":[62],"Coronary":[63],"angiography":[64],"revealed":[65],"Yip-Saw":[66],"Class":[67],"2":[68],"SCAD":[69,104],"in":[70,115],"mid-distal":[72],"LAD":[73,85],"preserved":[75],"flow.":[76],"Echocardiography":[77],"demonstrated":[78],"wall":[79,164],"motion":[80,165],"abnormalities":[81,166],"extending":[82],"beyond":[83,168],"territory":[86],"a":[88],"reduced":[89],"ejection":[90],"fraction":[91],"apical":[93],"ballooning":[94],"suggesting":[95],"concurrent":[96,155],"SICM.":[97],"This":[98],"case":[99],"illustrates":[100],"concept":[102],"SICM":[106,156],"important":[108],"women":[116],"may":[118,145],"present":[119],"complicate":[124],"diagnosis.":[125],"biologically":[129],"plausible":[130],"given":[131],"marked":[133],"predominance":[135],"shared":[137],"susceptibility":[138],"related":[139],"to":[140],"estrogen-mediated":[141],"vascular":[142],"protection,":[143],"which":[144],"be":[146],"diminished":[147],"during":[148],"perimenopausal":[150],"transition.":[151],"Clinicians":[152],"should":[153],"consider":[154],"when":[157,163],"evaluating":[158],"patients":[159],"SCAD,":[161],"particularly":[162],"extend":[167],"affected":[170],"distribution.":[172]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-22T00:00:00"}