Spontaneous coronary artery dissection: a clinically oriented narrative review
Quan Dang, Sonya Burgess, Peter J. Psaltis, Sarah Fairley, Jacqueline Saw, Sarah Zaman
Abstract
Spontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndromes (ACS), with a higher incidence in younger female patients. It is also associated with pregnancy, delivery, and the post-partum period. Despite an exponential rise in the volume of SCAD-focused research and publications within the past decade, SCAD is still a poorly understood condition, with a paucity of randomised controlled trial data. This review discusses the pathophysiology, clinical presentation, diagnosis and management of SCAD alongside areas for future research.
Topics & Concepts
Artery dissectionNarrativeDissection (medical)ArteryCardiologyMedicineInternal medicineCoronary angiographyRadiologyLiteratureArtMyocardial infarctionCardiovascular Issues in PregnancyCardiac Health and Mental HealthCoronary Artery Anomalies