Outcomes Following Conservative Management of Spontaneous Coronary Artery Dissection.

Shah, Nadim; Michel, Jonathan; Aitken, Stuart A.; Harding, Scott

doi:10.1016/j.hlc.2014.03.028

Cited by 2 publications

(2 citation statements)

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“…As with many disease processes there appears to be an association with low socioeconomic status and increased rate of MI, which may be exhibited even more profoundly in the ''young'' [8,34]. A number of other potential but uncommon causes have been described as precipitants of MI in the ''young'' including cocaine use [35], spontaneous coronary artery dissection [36], Kawasaki disease [37], factor V Leiden [38], low levels of oestrogen [39] and oral contraceptives in ''young'' women [40]. The role of homocysteine in development of CHD is controversial but data suggests there may be a correlation between hyperhomocysteinaemia and ''young'' MI [3].…”

Section: Risk Factorsmentioning

confidence: 99%

Myocardial Infarction in the “Young”: Risk Factors, Presentation, Management and Prognosis

Shah

Kelly

Cox

et al. 2016

Heart, Lung and Circulation

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129

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Myocardial infarction (MI) in the "young" is a significant problem, however there is scarcity of data on premature coronary heart disease (CHD) and MI in the "young". This may lead to under-appreciation of important differences that exist between "young" MI patients versus an older cohort. Traditional differences described in the risk factor profile of younger MI compared to older patients include a higher prevalence of smoking, family history of premature CHD and male gender. Recently, other potentially important differences have been described. Most "young" MI patients will present with non-ST elevation MI but the proportion presenting with ST-elevation MI is increasing. Coronary angiography usually reveals less extensive disease in "young" MI patients, which has implications for management. Short-term prognosis of "young" MI patients is better than for older patients, however contemporary data raises concerns regarding longer-term outcomes, particularly in those with reduced left ventricular systolic function. Here we review the differences in rate, risk factor profile, presentation, management and prognosis between "young" and older MI patients.

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Section: Risk Factorsmentioning

confidence: 99%

Myocardial Infarction in the “Young”: Risk Factors, Presentation, Management and Prognosis

Shah

Kelly

Cox

et al. 2016

Heart, Lung and Circulation

Self Cite

129

View full text Add to dashboard Cite

show abstract

“…Iatrogenic, especially catheter-related, coronary dissections have also been reported especially in the setting of coronary artery manipulations during angiography and intervention [ 17 ]. Treatment options for coronary dissection have included conservative management [ 18 ], endovascular therapy [ 19 ] and surgical intervention [ 20 ]. Similar to aortic hematomas, coronary artery hematomas have been reported with hemorrhage limited to the media-adventitia layers, resulting in hematoma formation without any identifiable intimal flap [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Left Main Coronary Artery Diverticulum: Case Report and Review of the Literature

et al. 2018

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Coronary artery disease is a major cause of morbidity and mortality, and while most commonly is atherosclerotic, it can present with variable manifestations, both congenital and acquired. One such manifestation is coronary aneurysm, which is a localized dilatation of a coronary artery wall segment to greater than 1.5 times the adjacent normal segments. While a dilated outpouching of a coronary artery has been commonly classified as a coronary aneurysm, a non-dilated outpouching is rare and is referred to as a diverticulum, with only one previous case report in the literature. It is conceivable that other cases of coronary artery diverticulum may have been previously reported as an aneurysm, given the overlapping angiographic appearance. We present a case of a 72-year-old female patient with an incidental finding of left main coronary artery diverticulum on diagnostic coronary angiogram done for preoperative liver transplantation evaluation.

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Outcomes Following Conservative Management of Spontaneous Coronary Artery Dissection.

Cited by 2 publications

References 4 publications

Myocardial Infarction in the “Young”: Risk Factors, Presentation, Management and Prognosis

Myocardial Infarction in the “Young”: Risk Factors, Presentation, Management and Prognosis

Left Main Coronary Artery Diverticulum: Case Report and Review of the Literature

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