Spontaneous Coronary Artery Dissection following Topical Hormone Replacement Therapy.
Published in Case reports in cardiology
Spontaneous coronary artery dissection is a rare condition, usually presenting as an acute coronary syndrome, and is often seen in states associated with high systemic estrogen levels such as pregnancy or oral contraceptive use. While topical hormonal replacement therapy may result in increased estrogen levels similar to those documented with oral ...