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Spontaneous coronary artery dissection: Principles of management

Nicole Pristera, Pulkit Chaudhury, Erik H. Van Iterson, Leslie S. Cho

2021Cleveland Clinic Journal of Medicine36 citationsDOIOpen Access PDF

Abstract

Spontaneous coronary artery dissection (SCAD) is an acute noniatrogenic tear in the coronary arterial wall, leading to disruption of coronary blood flow and myocardial infarction. Previously considered rare, it is now recognized as a common cause of acute coronary syndrome, particularly in young women. Despite growing awareness of this disease, there is a paucity of data on acute and long-term therapy. This review summarizes the existing literature on treatment of SCAD and describes a comprehensive management strategy.

Topics & Concepts

MedicineScadArtery dissectionAcute coronary syndromeMyocardial infarctionCardiologyInternal medicineCoronary artery diseaseArteryDissection (medical)Intensive care medicineCoronary angiographySurgeryCardiovascular Issues in PregnancyCardiac Structural Anomalies and RepairCardiac Health and Mental Health