Evidence map›Paper›PMID 42291850›Full record

ArticleCureus2026

Spontaneous Coronary Artery Dissection (SCAD) Presenting as Non-ST Elevation Myocardial Infarction (NSTEMI) During Menstruation in a Hypertensive Woman: A Case Report of Menstrual Hormonal Fluctuations as a Potential Trigger.

Nirajan Khati, Rakesh Kumar Shah, Rikesh Karki, Pratima Shakya, Alexandra Ward

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nirajan KhatiInternal Medicine, Jersey City Medical Center, Jersey City, USA.
Rakesh Kumar ShahInternal Medicine, Detroit Medical Center/Sinai Grace Hospital, Detroit, USA.
Rikesh KarkiInternal Medicine, Cambridge Health Alliance, Harvard Medical School, Boston, USA.
Pratima ShakyaInternal Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet, BGD.
Alexandra WardCardiovascular Disease, Jersey City Medical Center, Jersey City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous coronary artery dissection (SCAD) is an uncommon, non-atherosclerotic cause of acute coronary syndrome (ACS) that primarily affects younger women. We describe the case of a 33-year-old woman with hypertension who presented with acute chest pain during menstruation and was diagnosed with SCAD by coronary angiography. Hormonal fluctuations during the menstrual cycle have been postulated to contribute to the pathogenesis of SCAD through transient alterations in vascular wall integrity and arterial stability in susceptible individuals. This report highlights the need for heightened clinical suspicion of SCAD in young women presenting with chest pain, particularly in the presence of hypertension and potential hormonal triggers.

Indexed as

acute coronary syndrome (acs)coronary angiographyhypertensionmenstruationspontaneous coronary artery dissection (scad)

Identifiers

PMID42291850
PMCPMC13255902

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.