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Spontaneous Coronary Artery Dissection Case Series: Clinical Presentation, Angiographic Imaging, Management, and Outcomes.
Alzubi, Jafar; Jabri, Ahmad; Alameh, Anas; Jazar, Deaa Abu; Haddadin, Faris; Zmaili, Mohammad; Nasser, Farhan; Abdouh, Ahmad Al; Kondapaneni, Meera; Hegde, Vinyak.
Afiliación
  • Alzubi J; Department of Medicine, Cleveland Clinic Akron General, Akron, OH; Department of Cardiovascular Medicine, Albert Einstein Medical Center, Philadelphia, PA.
  • Jabri A; Department of Medicine, Cleveland Clinic Akron General, Akron, OH; Heart, and Vascular Center, Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH. Electronic address: ajabri@metrohealth.org.
  • Alameh A; Department of Medicine, Cleveland Clinic Akron General, Akron, OH.
  • Jazar DA; Department of Internal Medicine, University of Texas Medical Branch, Galvestion, TX.
  • Haddadin F; Department of Cardiology, Baylor College of Medicine, Houston, TX.
  • Zmaili M; Department of Internal Medicine, Cleveland Clinic, Cleveland, OH.
  • Nasser F; Heart, and Vascular Center, Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH.
  • Abdouh AA; Division of hospital medicine, University of Kentucky, Lexington, KY, USA.
  • Kondapaneni M; Heart, and Vascular Center, Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH.
  • Hegde V; Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic Akron General, Akron, OH.
Curr Probl Cardiol ; 48(4): 101050, 2023 Apr.
Article en En | MEDLINE | ID: mdl-34774921
Spontaneous coronary artery dissection (SCAD) is a rare but more frequently recognized cause of acute coronary syndrome. Due to the low incidence rate of this condition, there are no consensus guidelines to treat this clinical entity. Most of the information on the clinical presentation and management of SCAD originates from case reports and series; however, there has not been yet a prospective randomized study to guide treatment of SCAD. It is mostly seen in women and particularly those of younger ages. Most cases have an underlying etiology although the underlying pathophysiology is not fully understood. Patients might present in various ways including chest pain, ST- elevation acute coronary syndrome, ventricular arrhythmia, and sudden cardiac death. Although conservative management is mostly recommended with better outcomes, revascularization should be considered in certain circumstances. In this article, we describe a case series of five patients with SCAD. Additionally, this article reviews clinical presentation, incidence, diagnostic modalities, management and risk of recurrences in patients diagnosed with SCAD.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome Coronario Agudo Tipo de estudio: Clinical_trials / Guideline Límite: Female / Humans Idioma: En Revista: Curr Probl Cardiol Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome Coronario Agudo Tipo de estudio: Clinical_trials / Guideline Límite: Female / Humans Idioma: En Revista: Curr Probl Cardiol Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos