Multivessel spontaneous coronary artery dissection with simultaneously three different angiographic patterns

Ahmed, Habib Ben; Allouche, E.; Rekik, Akram; Ouechtati, Wejdène; Bezdah, L.

doi:10.1016/j.ancard.2020.03.019

Cited by 1 publication

(2 citation statements)

References 7 publications

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“…While the majority of patients had SCAD of a single artery, seven patients had multivessel SCAD [59,63,66,86,95,99,103], with the involvement of four (n = 1), three (n = 3), and two (n = 4) arteries. The most frequently dissected artery was the left anterior descending artery (LAD) (n = 70), followed by the right coronary artery (RCA) (n = 16), LCx (n = 10), and left main coronary artery (LMCA) (n = 6).…”

Section: Dissected Artery Characteristicsmentioning

confidence: 99%

“…Among 34 patients in whom the SCAD type was reported according to the Saw classification [107], 12 (35.3%) patients were diagnosed with type 1, 22 (64.7%) with type 2, and four (11.8%) with type 3 SCAD. One patient had three arteries having SCAD with three different classification types [86], and two patients had two dissections in two arteries with different types [20,66]. Initial angiography confirmed type 3 dissection in one patient, which was later found to be type 1 SCAD on repeated angiography [76].…”

Section: Dissected Artery Characteristicsmentioning

confidence: 99%

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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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Section: Dissected Artery Characteristicsmentioning

confidence: 99%