{"title":"Multivessel spontaneous coronary artery dissection in a young woman using cabergoline.","authors":"Rachel Byrne, Paul Shiels, Rajesh Kumar","doi":"10.1530/EDM-24-0129","DOIUrl":null,"url":null,"abstract":"<p><strong>Summary: </strong>We present a unique case of multivessel spontaneous coronary artery dissection (SCAD) in a young woman using cabergoline. This woman presented with an acute coronary syndrome (ACS) on a background of cabergoline use for a prolactinoma diagnosed over 20 years ago. Coronary angiogram revealed multivessel coronary artery dissection in the absence of occlusive disease. SCAD is an increasingly recognised cause of acute ACS; however, cabergoline-induced SCAD is exceedingly rare with limited literature to date. We highlight this important clinical entity to physicians, who must have a high index of clinical suspicion of this diagnosis in ACS presentations on a background of cabergoline use.</p><p><strong>Learning points: </strong>We need a high index of clinical suspicion of SCAD in young women with ACS presentations. Cabergoline therapy may be an important risk factor for consideration in those presenting with a possible SCAD.</p>","PeriodicalId":37467,"journal":{"name":"Endocrinology, Diabetes and Metabolism Case Reports","volume":"2026 2","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280715/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endocrinology, Diabetes and Metabolism Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1530/EDM-24-0129","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/1 0:00:00","PubModel":"Print","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
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Abstract
Summary: We present a unique case of multivessel spontaneous coronary artery dissection (SCAD) in a young woman using cabergoline. This woman presented with an acute coronary syndrome (ACS) on a background of cabergoline use for a prolactinoma diagnosed over 20 years ago. Coronary angiogram revealed multivessel coronary artery dissection in the absence of occlusive disease. SCAD is an increasingly recognised cause of acute ACS; however, cabergoline-induced SCAD is exceedingly rare with limited literature to date. We highlight this important clinical entity to physicians, who must have a high index of clinical suspicion of this diagnosis in ACS presentations on a background of cabergoline use.
Learning points: We need a high index of clinical suspicion of SCAD in young women with ACS presentations. Cabergoline therapy may be an important risk factor for consideration in those presenting with a possible SCAD.
期刊介绍：
Endocrinology, Diabetes & Metabolism Case Reports publishes case reports on common and rare conditions in all areas of clinical endocrinology, diabetes and metabolism. Articles should include clear learning points which readers can use to inform medical education or clinical practice. The types of cases of interest to Endocrinology, Diabetes & Metabolism Case Reports include: -Insight into disease pathogenesis or mechanism of therapy - Novel diagnostic procedure - Novel treatment - Unique/unexpected symptoms or presentations of a disease - New disease or syndrome: presentations/diagnosis/management - Unusual effects of medical treatment - Error in diagnosis/pitfalls and caveats
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