Spontaneous Coronary Dissection and Its Long-Term Prognostic Implications in a Cohort of 19 Cases

Romero-Rodríguez, Nieves; Fernández-Quero, Mónica; Gil-Ortega, Manuel Villa; Moral, José Ángel Urbano del; Prada, Sara Ballesteros; Llera, Luis Díaz de la; Martínez-Martínez, Ángel; Sánchez-González, Ángel

doi:10.1016/s1885-5857(10)70213-9

Cited by 12 publications

(8 citation statements)

References 12 publications

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“…5 Approximately 70% are women and in 30% of cases, the SCAD is related to pregnancy. 3 It has a broad clinical presentation spectrum. 5 …”

Section: Discussionmentioning

confidence: 99%

“…Recently, a close association has been identified between SCAD and the presence of fibromuscular dysplasia, and, therefore, its presence should be ruled out. 2,3,6-8 …”

Section: Discussionmentioning

confidence: 99%

“…3 RCA dissections are more common in men, while left main coronary artery dissections are more common in women. 9 …”

Section: Discussionmentioning

confidence: 99%

“…Although the coronary angiotomography allows the assessment of atherosclerotic lesions, it has limited usefulness in SCAD due to its low spatial resolution. 3,10,11 …”

Section: Discussionmentioning

confidence: 99%

“…3 The etiology is not fully known, 2,3 but the term "spontaneous" excludes all dissections associated with interventions or trauma. 1 Treatment varies from the conservative approach to revascularization, 4 with a favorable long-term prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Coronary Artery Dissection in Acute Coronary Syndrome: Report of a Series of Cases with 17 Patients

Godinho

Vasconcelos

Araújo

et al. 2016

Arquivos Brasileiros De Cardiologia

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“…5 Approximately 70% are women and in 30% of cases, the SCAD is related to pregnancy. 3 It has a broad clinical presentation spectrum. 5 …”

Section: Discussionmentioning

confidence: 99%

“…Recently, a close association has been identified between SCAD and the presence of fibromuscular dysplasia, and, therefore, its presence should be ruled out. 2,3,6-8 …”

Section: Discussionmentioning

confidence: 99%

“…3 RCA dissections are more common in men, while left main coronary artery dissections are more common in women. 9 …”

Section: Discussionmentioning

confidence: 99%

“…Although the coronary angiotomography allows the assessment of atherosclerotic lesions, it has limited usefulness in SCAD due to its low spatial resolution. 3,10,11 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spontaneous Coronary Artery Dissection in Acute Coronary Syndrome: Report of a Series of Cases with 17 Patients

Godinho

Vasconcelos

Araújo

et al. 2016

Arquivos Brasileiros De Cardiologia

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Mortality in spontaneous coronary artery dissection: A systematic review and meta‐analysis

Adams

Hughes

et al. 2021

Cathet Cardio Intervent

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Objective The aim of this systematic review and meta‐analysis was to provide a comprehensive estimate for spontaneous coronary artery dissection (SCAD) related mortality, and explore factors associated with an increased risk of death. Background SCAD is an infrequent but increasingly recognized cause of acute coronary syndrome. Despite a growing body of evidence, there have been few detailed examinations of SCAD associated mortality. Methods We searched MEDLINE, EMBASE, Cochrane, Web of Science and Google Scholar databases through May 7, 2020. We included studies reporting mortality data, confirmed SCAD with coronary angiography and included ≥10 participants. We excluded non‐English studies, conference abstracts, review articles and duplicate datasets. Random‐effects meta‐analysis and meta‐regression were used to evaluate estimates and predictors of mortality. Results From an initial 1,131 articles, 34 studies with 2,817 patients were eligible for inclusion. The weighted mean age was 50 years, and 84% of participants were female. The pooled estimate for SCAD mortality was 1% (Proportion 0.01; 95% CI, 0.00–0.02). The mean duration of follow‐up was 33 months. Meta‐regression showed male sex was associated with 3.5‐fold increased odds of mortality (OR, 3.50; 95% CI, 1.22–10.03). In addition, smoking (current or previous) was associated with a 15‐fold increased risk of mortality (OR 15.32; 95% CI, 2.88–81.41). Conclusions This meta‐analysis has shown that SCAD is associated with favorable survival outcomes with an estimated mortality of 1% over a mean follow‐up period of 33 months. We also found male sex and smoking were associated with an increased risk of mortality.

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A complicated spontaneous left main coronary artery dissection. Is the initial conservative management safe in asymptomatic patients?

Jurado-Román

Andreu

Tejada

et al. 2012

Cardiovascular Revascularization Medicine

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Spontaneous Coronary Dissection and Its Long-Term Prognostic Implications in a Cohort of 19 Cases

Cited by 12 publications

References 12 publications

Spontaneous Coronary Artery Dissection in Acute Coronary Syndrome: Report of a Series of Cases with 17 Patients

Spontaneous Coronary Artery Dissection in Acute Coronary Syndrome: Report of a Series of Cases with 17 Patients

Mortality in spontaneous coronary artery dissection: A systematic review and meta‐analysis

A complicated spontaneous left main coronary artery dissection. Is the initial conservative management safe in asymptomatic patients?

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