A case of spontaneous coronary artery dissection presenting with acute anterior wall myocardial infarction in a young adult male – an increasingly recognized rare disease

Taha, Mohamed; Latt, Htun; Al‐Khafaji, Jaafar; Ali, Mohamed I. Hassan; Seher, Richard

doi:10.1080/20009666.2018.1440855

Cited by 3 publications

(1 citation statement)

References 14 publications

(18 reference statements)

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“…With the development and rupture of coronary atherosclerotic plaque in patients with coronary heart disease, it can lead to arterial thrombosis, acute myocardial infarction and life-threatening ( Taha et al, 2018 ). With the change of diet structure, lifestyle and work rhythm of Chinese residents, patients with coronary heart disease tend to be younger, and the incidence rate of acute myocardial infarction among young and middle-aged patients has also significantly increased ( Yanmei, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Study on the risk of coronary heart disease in middle-aged and young people based on machine learning methods: a retrospective cohort study

Cao¹,

Zhang²,

Ma³

et al. 2022

PeerJ

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Objective To identify coronary heart disease risk factors in young and middle-aged persons and develop a tailored risk prediction model. Methods A retrospective cohort study was used in this research. From January 2017 to January 2020, 553 patients in the Department of Cardiology at a tertiary hospital in Anhui Province were chosen as research subjects. The research subjects were separated into two groups based on the results of coronary angiography performed during hospitalization (n = 201) and non-coronary heart disease (n = 352). R software (R 3.6.1) was used to analyze the clinical data of the two groups. A logistic regression prediction model and three machine learning models, including BP neural network, Extreme gradient boosting (XGBoost), and random forest, were built, and the best prediction model was chosen based on the relevant parameters of the different machine learning models. Results Univariate analysis identified a total of 24 indexes with statistically significant differences between coronary heart disease and non-coronary heart disease groups, which were incorporated in the logistic regression model and three machine learning models. The AUCs of the test set in the logistic regression prediction model, BP neural network model, random forest model, and XGBoost model were 0.829, 0.795, 0.928, and 0.940, respectively, and the F1 scores were 0.634, 0.606, 0.846, and 0.887, indicating that the XGBoost model’s prediction value was the best. Conclusion The XGBoost model, which is based on coronary heart disease risk factors in young and middle-aged people, has a high risk prediction efficiency for coronary heart disease in young and middle-aged people and can help clinical medical staff screen young and middle-aged people at high risk of coronary heart disease in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Study on the risk of coronary heart disease in middle-aged and young people based on machine learning methods: a retrospective cohort study

Cao¹,

Zhang²,

Ma³

et al. 2022

PeerJ

View full text Add to dashboard Cite

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Multi-contrast imaging information of coronary artery wall based on magnetic resonance angiography

Shang

Shi

Yang

et al. 2020

Journal of Infection and Public Health

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Spontaneous coronary artery dissection in patients with prior psychophysical stress: a systematic review of case reports and case series

Hosseini,

Fallahtafti,

Roudbari

et al. 2024

BMC Cardiovasc Disord

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Background Spontaneous coronary artery dissection (SCAD) is an underdiagnosed cause of acute coronary syndrome, particularly in younger women. Due to limited information about SCAD, case reports and case series can provide valuable insights into its features and management. This study aimed to comprehensively evaluate the features of SCAD patients who experienced psychophysical stress before the SCAD event. Methods We conducted an electronic search of PubMed, Scopus, and Web of Science from inception until January 7, 2023. We included case reports or series that described patients with SCAD who had experienced psychophysical stress before SCAD. Patients with pregnancy-associated SCAD were excluded from our analysis. Results In total, we included 93 case reports or series describing 105 patients with SCAD. The average patient age was 44.29 ± 13.05 years and a total of 44 (41.9%) of patients were male. Among the included SCAD patients the most prevalent comorbidities were fibromuscular dysplasia (FMD) and hypertension with the prevalence of 36.4 and 21.9%, respectively. Preceding physical stress was more frequently reported in men than in women; 38 out of 44 (86.4%) men reported physical stress, while 36 out of 61 (59.1%) females reported physical stress (p value = 0.009). On the other hand, the opposite was true for emotional stress (men: 6 (13.6%)), women: 29 (47.6%), p value < 0.001). Coronary angiography was the main diagnostic tool. The most frequently involved artery was the left anterior descending (LAD) (62.9%). In our study, recurrence of SCAD due to either the progression of a previous lesion or new SCAD in another coronary location occurred more frequently in those treated conservatively, however the observed difference was not statistically significant (p value = 0.138). Conclusion While physical stress seems to precede SCAD in most cases, emotional stress is implicated in females more than males.

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A case of spontaneous coronary artery dissection presenting with acute anterior wall myocardial infarction in a young adult male – an increasingly recognized rare disease

Cited by 3 publications

References 14 publications

Study on the risk of coronary heart disease in middle-aged and young people based on machine learning methods: a retrospective cohort study

Study on the risk of coronary heart disease in middle-aged and young people based on machine learning methods: a retrospective cohort study

Multi-contrast imaging information of coronary artery wall based on magnetic resonance angiography

Spontaneous coronary artery dissection in patients with prior psychophysical stress: a systematic review of case reports and case series

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