a rare cause of myocardial infarction and ventricular tachycardia in a young male with hiv/aids - spontaneous coronary artery dissection: a case report

Hiv/aids is a multisystemic disorder and occurrence of cardiovascular disease is higher compared to non-hiv individuals. spontaneous coronary artery dissection (scad) remains a rare and underdiagnosed cause of acute coronary syndrome (acs), even in modern day era. scad is predominantly seen in young to middle aged females and present as a nonatherosclerotic cause of myocardial ischaemia, infarction or sudden cardiac death (scd); with or without ventricular arrythmias. ventricular tachycardia (vt) can sometimes be the initial presentation of scad. hiv associated arteriopathy can predispose to occurrence of scad. we report a case of a 38-year-old male suffering from hiv/aids, with no conventional risk factors presenting as vt. coronary angiogram showed scad in right coronary artery without any flow limitation.