Spontaneous coronary artery dissectionSpontaneous coronary artery dissection (SCAD) has emerged recently as an underestimated cause of acute coronary syndrome (ACS), myocardial infarction and sudden cardiac death. Recent studies supposed that SCAD is the underlying cause of 1.7% to 4% of ACS cases and leads to 0.5% of sudden cardiac deaths. This clinical entity predominantly affects young female patients or patients without traditional cardiovascular risk factors. This disease was overlooked and misdiagnosed until the last decade when the greater use of intracoronary imaging, such as optical coherence tomography and intravascular ultrasonography, progressively improved the feasibility of diagnosis. The current treatment recommendations are based only on expert opinion, mainly from retrospective and observational SCAD studies. This review aims to explain in detail its aetiopathogenesis and clinical features, and is focused on the diagnostic and therapeutic management of SCAD. The importance of awareness of, and vigilance related to, this condition is illustrated by two short case reports representing typical patients with SCAD.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.