Clinical Features, Management, and Prognosis of Spontaneous Coronary Artery Dissection

Clinical Features, Management, and Prognosis of Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection (SCAD) is an acute coronary event of uncertain origin. Clinical features and prognosis remain insufficiently characterized. A retrospective single-center cohort study identified 87 patients with angiographically confirmed SCAD. Incidence, clinical characteristi...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2012-07, Vol.126 (5), p.579-588
Hauptverfasser: TWEET, Marysia S, HAYES, Sharonne N, GULATI, Rajiv, PITTA, Sridevi R, SIMARI, Robert D, LERMAN, Amir, LENNON, Ryan J, GERSH, Bernard J, KHAMBATTA, Sherezade, BEST, Patricia J. M, RIHAL, Charanjit S
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aneurysm, Ruptured - complications
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - therapy
Angioplasty, Balloon, Coronary
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cohort Studies
Coronary Aneurysm - complications
Coronary Aneurysm - diagnostic imaging
Coronary Aneurysm - therapy
Coronary Angiography
Coronary Artery Bypass
Coronary heart disease
Disease Management
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Electrocardiography
Female
Heart
Humans
Kaplan-Meier Estimate
Male
Medical sciences
Middle Aged
Myocardial Infarction - etiology
Myocardial Infarction - physiopathology
Prognosis
Recurrence
Retrospective Studies
Rupture, Spontaneous
Sex Factors
Treatment Outcome
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Zusammenfassung:Spontaneous coronary artery dissection (SCAD) is an acute coronary event of uncertain origin. Clinical features and prognosis remain insufficiently characterized. A retrospective single-center cohort study identified 87 patients with angiographically confirmed SCAD. Incidence, clinical characteristics, treatment modalities, in-hospital outcomes, and long-term risk of SCAD recurrence or major adverse cardiac events were evaluated. Mean age was 42.6 years; 82% were female. Extreme exertion at SCAD onset was more frequent in men (7 of 16 versus 2 of 71; P
ISSN:0009-7322
1524-4539
DOI:10.1161/circulationaha.112.105718