Recurrent spontaneous coronary artery dissection: Unexpected evolution and major role of emotional stress

Eugène, M; Siam-Tsieu, Valérie; Pillière, Rémy; Deblaise, Julien; Dubourg, Olivier; Mansencal, Nicolas

doi:10.1016/j.ijcard.2015.08.064

Cited by 8 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Young age, absence of classic risk factors, female sex, hormone therapy, emotional status, and coronary artery tortuosity are included in the typical profile of such patients. [1][2][3][4] Over recent years, due to improvements in endovascular imaging techniques such as intravascular ultrasound (IVUS) and optical coherence tomography, the detection of SCAD has increased. Usually, the long-term outcomes are good with survival similar to that of the general population.…”

Section: Introductionmentioning

confidence: 99%

Characterization of single vs. recurrent spontaneous coronary artery dissection

Rigatelli

Dell’Avvocata

Picariello

et al. 2018

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Background Spontaneous coronary artery dissection is a rare non-atherosclerotic cause of acute coronary syndromes, often underdiagnosed based on standard coronary angiography. Moreover, features, presentation, and intravascular imaging of recurrent spontaneous dissections have not been assessed. Methods Patients with recurrent spontaneous coronary artery dissection, who were admitted to our catheterization laboratory over a 10-year period, were identified. Demographic, clinical, angiographic, and intravascular imaging data were reviewed and analyzed, comparing patients with a single event with those who had a recurrence. Results Over the study period, 31 (0.2%, mean age 48.1 ± 8.8 years, 24 females) of 10,954 patients who underwent coronary angiography experienced a single spontaneous coronary artery dissection, and 6 (0.05%, mean age 49.3 ± 10.1 years, 4 females) experienced recurrent spontaneous coronary artery dissection. No patient suffered more than 2 dissections. Arterial hypertension ( p = 0.004), a string sign measuring >15 mm on angiography, and hematoma on intravascular ultrasound imaging were more frequently observed in patients with recurrent spontaneous coronary artery dissection. Conclusions Hypertension, length of the string sign on angiography, and hematoma on intravascular ultrasound imaging might identify patients at higher risk of recurrent spontaneous coronary artery dissection despite a lifelong dual antiplatelet regimen.

show abstract

Section: Introductionmentioning

confidence: 99%