Sudden death from coronary artery dissection.

Bateman, A C; Gallagher, Peggy A.; Vincenti, Antonello

doi:10.1136/jcp.48.8.781

Cited by 62 publications

(32 citation statements)

References 7 publications

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“…3)4) Although SCAD has been reported to occur in association with pregnancy or during the early postpartum period, 5) oral contraceptives, 6) intense physical exertion, [7][8][9] blunt chest trauma, 10) connective tissue disorder, such as Marfan's or Ehlers-Danlos syndromes, 11) and various immune or inflammatory disease, such as autoimmune thyroditis, 12) and We think SCAD needs to be included as a possible differential diagnosis in patients with chest pain. This is the first report of a patient of SCAD presenting as variant angina, which rapidly progressed during an ergonovine test.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Coronary Artery Dissection Manifested during Ergonovine Test and Treated with Intravascular Ultrasound Guided Stenting: A Case Report

et al. 2005

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Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute myocardial ischemia, which frequently presents as sudden death. The pathophysiology and treatment of SCAD have not been fully determined. Herein, a case of SCAD, manifesting as variant angina, which rapidly progressed during an ergonovine test, in which 3 drug-eluting stents were deployed using intravascular an ultrasound guidance, with an excellent immediate result, is reported. (Korean Circulation J 2005 ; 35 : 264-268) KEY WORDS：Spontaneous coronary artery dissection；Ergonovine stress；Intravascular ultrasonography；Drug-eluting stent.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Coronary Artery Dissection Manifested during Ergonovine Test and Treated with Intravascular Ultrasound Guided Stenting: A Case Report

et al. 2005

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“…After the report of Virmani et al, 15 cases of eosinophilic coronary periarteritis with SCAD were reported in the literature from 1987 to 2011 (Table 2 [ [14][15][16][17][18][19][20][21][22]). The case reported by Hunsaker et al was of a 57-year-old woman who had a lifelong history of allergies to numerous agents, but no asthma or hypereosinophilia [15].…”

Section: Moreover Ak Et Al Reported a Case Of Coronary Artery Bypassmentioning

confidence: 99%

Eosinophilic Coronary Periarteritis: A New Type of Coronary Arteritis as a Cause of Vasospastic Angina and Sudden Death

Kajihara¹

2012

J Clin Exp Cardiolog

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Eosinophilic coronary periarteritis (ECPA) has been recently established as a new pathological entity and clinically showed a vasospastic angina and sudden cardiac death (SCD). The patients were relatively young (mainly 30 to 50 years old) and predominantly male. The characteristic clinical findings of this disease include a) vasospastic angina (Prinzmetal's variant angina) appearing usually from evening to early in the morning, b) all patients experienced SCD early in the morning, and c) allergy or history of allergy was hard to identify in the patients with this disease. Histological findings include a) eosinophilic inflammatory infiltration limited to the adventitia and periadventitial soft issue is recognized in the epicardial large coronary arteries, b) all 3 main coronary artery branches are affected, with the left anterior descending artery most frequently affected, c) medial smooth muscle cells of the affected coronary artery and both internal and elastic laminae are well preserved, d) fibrinoid necrosis or granuloma as seen in polyarteritis nodosa or allergic granulomatous angina are not found in or around the inflammatory area, and e) no findings of any type of vasculitis in any other tissues or organs (i.e., localized or non-systemic periarteritis). Spontaneous coronary artery dissection (SCAD) is frequently accompanied by eosinophilic inflammatory infiltration limited to the adventitia and periadventitial soft issue in the dissected portion of the epicardial coronary arteries, i.e., same as the findings of ECPA, and the patients usually die suddenly.A considerable number of patients with this disease will be included among patients suffering from vasospastic angina. Therefore, it is very important for cardiologists to make a precise diagnosis of and provide adequate treatment for this disease.

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“…37 Vasculitis has been noted in several cases. 8,10,18,[38][39][40][41][42] The presence of eosinophilic infiltrates, periarteritis-like adventitial changes, tissue-damaging granule components, and the close interaction between eosinophils and degraded collagen have been well documented. 4,11,[43][44][45] Coronary artery dissection can occur secondary to atherosclerosis after rupture of a plaque or vasa vasorum.…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

“…1,8,12,13 Unlike intimal dissection that occurs with significant preexisting atherosclerosis, the plane of dissection in SCAD usually lies within the outer third of the tunica media or between the media and adventitia. 11,[14][15][16][17][18] The dissection is typically observed in one vessel, but may encompass several coronary arteries concomitantly, including the LMCA. 2,9,[19][20][21][22][23] Although not invariable, left coronary artery dissections are more common in women, while the RCA is usually involved in men.…”

Section: Incidence and Clinical Presentationmentioning

confidence: 99%

Spontaneous coronary artery dissection

Almeda

Barkatullah

Kavinsky

2004

Clinical Cardiology

101

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Summary: Spontaneous coronary artery dissection (SCAD)is an unusual cause of acute myocardial ischemia with complex pathophysiology. This paper reviews the major diagnostic and therapeutic issues of this rare but important disease. The diagnosis of SCAD should be strongly considered in any patient who presents with symptoms suggestive of acute myocardial ischemia, particularly in young subjects without traditional risk factors for coronary artery disease (especially in young women during the peripartum period or in association with oral contraceptive use). Urgent coronary angiography is indicated to establish the diagnosis and to determine the appropriate therapeutic approach. The decision to pursue medical management, percutaneous coronary intervention, or surgical revascularization is based primarily on the clinical presentation, extent of dissection, and amount of ischemic myocardium at risk.

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Sudden death from coronary artery dissection.

Cited by 62 publications

References 7 publications

Spontaneous Coronary Artery Dissection Manifested during Ergonovine Test and Treated with Intravascular Ultrasound Guided Stenting: A Case Report

Spontaneous Coronary Artery Dissection Manifested during Ergonovine Test and Treated with Intravascular Ultrasound Guided Stenting: A Case Report

Eosinophilic Coronary Periarteritis: A New Type of Coronary Arteritis as a Cause of Vasospastic Angina and Sudden Death

Spontaneous coronary artery dissection

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