Clinical features of spontaneous coronary artery dissection

Tokura, Michiaki; Tanaka, Isao; Kageyama, Michiya; Nasuno, Takahisa; Nishiyama, Yuki; Koshiji, Noboru; Koizumi, Satoshi; Uehara, Daisuke; Ogino, Yukitomo; Toyoda, Shigeru; Abe, Shichiro; Inoue, Teruo

doi:10.1016/j.jjcc.2013.07.001

Cited by 29 publications

(25 citation statements)

References 14 publications

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“…More than 50% of these patients recall a precipitating factor such as intense exercise, intense Valsalva maneuver, retching, vomiting, intense emotional stress, labor, and recreational drug abuse. Chest pain is the presenting symptom in the majority of the cases with most presenting as ACS [2,[9][10][11]. Studies that exclude iatrogenic, traumatic, and atherosclerotic dissection suggest that SCAD may be a cause of up to 1%-4% of ACS cases overall, and SCAD is the most common cause of pregnancyassociated myocardial infarction (MI; 43%) and up to 35% of MIs in women aged 50 years or younger.…”

Section: Discussionmentioning

confidence: 99%

Slit in the Coronaries: A Case of Spontaneous Coronary Artery Dissection

Bath

Aggarwal

Gupta

et al. 2019

Cureus

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Spontaneous coronary artery dissection (SCAD) is a noniatrogenic epicardial coronary artery dissection unrelated to an atherosclerotic disease process. SCAD is responsible for a small percentage of acute coronary syndrome (ACS) cases. The left anterior descending (LAD) artery is the most common artery affected in SCAD, although any coronary artery can be affected. We present an interesting case of SCAD presenting as an ST-elevation myocardial infarction complicated with dissection extending to the left main and distal LAD requiring emergent coronary artery bypass grafting. Our case emphasizes the importance of considering SCAD as a cause for ACS, especially in young patients with minimal atherosclerotic risk factors. Also, a very high recurrence rate demands strict follow-up and multidisciplinary decision making in the population impacted with this rare entity.

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Section: Discussionmentioning

confidence: 99%

Slit in the Coronaries: A Case of Spontaneous Coronary Artery Dissection

Bath

Aggarwal

Gupta

et al. 2019

Cureus

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“…Una angioplastía podría ser realizada en el mismo momento del diagnóstico y restaurar el flujo coronario. Sin embargo, el sólo intento de realizarla tiene el riesgo de aumentar la extensión de la disección o provocar la oclusión del vaso por el hematoma intramural 9,10 .…”

Section: Discussionunclassified

Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente

et al. 2016

Rev. méd. Chile

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“…Although the most common associations with SCAD are coronary atherosclerotic disease, pregnancy/peripartum status, and fibromuscular dysplasia, some cases of Marfan syndrome have been described [80][81][82][83][84][85][86][87][88][89][90][91][92]. In a population-based study of SCAD in the United States using administrative records, 10 of 66,360 admissions for SCAD had a co-existing diagnosis of Marfan syndrome [84].…”

Section: Spontaneous Coronary Artery Dissection (Scad)mentioning

confidence: 99%

Features of Marfan syndrome not listed in the Ghent nosology – the dark side of the disease

Kodolitsch

Demolder

Girdauskas

et al. 2019

Expert Review of Cardiovascular Therapy

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Introduction: The revised Ghent nosology presents the classical features of Marfan syndrome. However, behind its familiar face, Marfan syndrome hides less well-known features. Areas covered: The German Marfan Organization listed unusual symptoms and clinical experts reviewed the literature on clinical features of Marfan syndrome not listed in the Ghent nosology. Thereby we identified the following features: (1) bicuspid aortic valve, mitral valve prolapse, pulmonary valve prolapse, tricuspid valve prolapse, (2) heart failure and cardiomyopathy, (3) supraventricular arrhythmia, ventricular arrhythmia, and abnormal repolarization, (4) spontaneous coronary artery dissection, anomalous coronary arteries, and atherosclerotic coronary artery disease, tortuosity-, aneurysm-, and dissection of large and medium-sized arteries, (5) restrictive lung disease, parenchymal lung disease, and airway disorders, (6) obstructive-and central sleep apnea, (7) liver and kidney cysts, biliary tract disease, diaphragmatic hernia, and adiposity, (8) premature labor, and urinary incontinence, (9) myopathy, reduced bone mineral density, and craniofacial manifestations, (10) atrophic scars, (11) caries, and craniomandibular dysfunction, (12) headache from migraine and spontaneous cerebrospinal fluid leakage, (13) cognitive dysfunction, schizophrenia, depression, fatigue, and pain, (14) and activated fibrinolysis, thrombin, platelets, acquired von Willebrand disease, and platelet dysfunction. Expert commentary: Future research, nosologies, and guidelines may consider less well-known features of Marfan syndrome. ARTICLE HISTORY

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Clinical features of spontaneous coronary artery dissection

Abstract: In our experience, the clinical features of SCAD appear to be similar to those reported previously. SCAD appears to be rare, but it should be considered in ACS patients, especially in younger females.

Cited by 29 publications

References 14 publications

Slit in the Coronaries: A Case of Spontaneous Coronary Artery Dissection

Slit in the Coronaries: A Case of Spontaneous Coronary Artery Dissection

Disección coronaria espontánea: comunicación de 2 casos tratados quirúrgicamente

Features of Marfan syndrome not listed in the Ghent nosology – the dark side of the disease

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