Spontaneous multivessel coronary artery dissection in a long-distance runner successfully treated with oral antiplatelet therapy.

Spontaneous coronary artery dissection is an unusual yet clinically important cause of acute coronary syndromes. We present the case of a 37-year-old woman, actively training for a marathon, who presented with a non-Q wave myocardial infarction due to multivessel spontaneous coronary artery dissection, along with a review of the literature on spontaneous coronary artery dissections manifesting as acute myocardial infarctions.