ArticleJACC. Case reports2026
Left Main Spontaneous Coronary Artery Dissection in a Young Woman With Migraine and Triptan Use.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Relief or Risk? Triptans, Migraines, and SCAD.JACC. Case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpontaneous coronary artery dissection (SCAD) results from intramural hematoma formation within the coronary arterial wall. It predominantly affects young women and is associated with physical or emotional stress, hormonal influences, and vasoactive medications. CASE SUMMARY: A 33-year-old woman presented to the emergency department with acute chest pain 1 hour after taking 100 mg of sumatriptan. Electrocardiography demonstrated ST-segment elevation in aVL and diffuse ST-segment depressions. Coronary angiography revealed left main SCAD with thrombosis, treated with thrombectomy and stenting. She developed cardiogenic shock requiring prolonged mechanical circulatory support. Hospitalization course was also complicated by an ischemic stroke and spinal cord infarction. She was stabilized and discharged to rehabilitation. DISCUSSION: Triptans are associated with coronary vasospasm; their potential role in precipitating SCAD in susceptible individuals remains poorly characterized. TAKE-HOME MESSAGE: SCAD may occur in patients with migraines even without traditional cardiovascular risk factors and especially after exposure to triptans.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.