Spontaneous Coronary Artery Dissection - Case Report and Literature Review

Daniel, Elana Couto de Alencar; Falcão, João Luiz de Alencar Araripe

doi:10.5935/abc.20190057

Cited by 5 publications

(5 citation statements)

References 6 publications

(6 reference statements)

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“…SCAD was first reported by Pretty HC in a 42-year-old woman at autopsy in 1931. After that, it was well studied, but its true prevalence was underestimated and had varying presentations [ 1 , 9 , 10 ]. The reported incidence of SCAD varies from 0.07 to 4.0%, [ 1 , 5 - 7 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…SCAD mainly involves mid-distal areas of the LAD coronary artery, especially in women, and the right coronary artery, especially in men [2,3,6,[8][9][10]. We presented three cases of STEMI-associated SCAD.…”

Section: Third Casementioning

confidence: 98%

“…BMI: body mass index; EKG: electrocardiography; HS-troponin-I: high-sensitivity troponin I; PCI: percutaneous coronary intervention; DES: drug-eluting stent; LAD: left anterior descending; SCAD: spontaneous coronary artery dissection; LVEF: left ventricle ejection fraction; DAPT: dual antiplatelet therapy, NSTEMI: non-ST-elevation myocardial infarctionDiscussionSCAD was first reported by Pretty HC in a 42-year-old woman at autopsy in 1931. After that, it was well studied, but its true prevalence was underestimated and had varying presentations[1,9,10].…”

mentioning

confidence: 99%

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Spontaneous Coronary Artery Dissection in Young Patients: A Case Series and Review of Current Management Algorithm

Shrestha¹,

Shtembari²,

Shehata³

et al. 2023

Cureus

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Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognized non-atherosclerotic cause of acute coronary syndrome. Common risk factors for SCAD are coronary atherosclerosis, female gender, peripartum period, systemic inflammatory conditions, and connective tissue disorders. It manifests as myocardial ischemia and infarction, arrhythmia, and sudden cardiac death. We present a case series of two young men and one young female with SCAD who had chest pain and were diagnosed with SCAD-associated ST-elevation myocardial infarction. Its diagnosis requires a high degree of clinical suspicion and its management is guided by the patient’s clinical condition and the characteristics of the lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Third Casementioning

confidence: 98%

mentioning

confidence: 99%

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Spontaneous Coronary Artery Dissection in Young Patients: A Case Series and Review of Current Management Algorithm

Shrestha¹,

Shtembari²,

Shehata³

et al. 2023

Cureus

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“…The prevalence of SCAD as a precipitating factor for acute coronary syndrome ranges between 0.1% and 0.4% and is mostly reported in young women without coronary artery disease risk [ 3 , 4 ]. Some factors predisposing a patient to SCAD include pregnancy, postpartum state, and the presence of certain arterial diseases such as fibro-muscular dysplasia, connective tissue disorders autoimmune inflammatory systemic disease [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Post-coital Spontaneous Coronary Artery Dissection

Farouji¹,

Al-Radideh²,

Abed³

et al. 2021

Cureus

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“…Pode resultar em formação de um hematoma na túnica média da artéria coronária, o que leva ao surgimento de um falso lúmen, que comprime o lúmen verdadeiro levando a isquemia miocárdica e possíveis arritmias graves. 1 Frequentemente subdiagnosticada em sua história, a DEAC representa de 5 a 10% dos infartos do miocárdio e são mais frequentes em mulheres jovens sem eventos cardiovasculares. [2][3][4] Apesar do subdiagnóstico, mais episódios estão sendo identificados devido à investigação mais ampla e aos avanços em métodos complementares, especialmente os de imagem intracoronária.…”

Section: Introductionunclassified