[Recent insights on spontaneous coronary artery dissection (SCAD): From diagnosis suspicion to long-term outcomes]
G Malclès1, G Souteyrand1, P Motreff1
1Department of Cardiology, Gabriel-Montpied Hospital, Clermont-Ferrand University Hospital, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France.
Insights
Spontaneous coronary artery dissection (SCAD) is a serious heart condition affecting young women. Recent studies are improving understanding of SCAD
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Spontaneous coronary artery dissection (SCAD) is an under-diagnosed cause of acute coronary syndrome.
- SCAD predominantly affects young women and was previously considered rare.
Purpose of the Study:
- To provide a concise overview of SCAD in 2016.
- To assist clinicians in managing this challenging cardiovascular condition.
Main Methods:
- Literature review of recent publications on SCAD.
- Synthesis of current knowledge on SCAD pathophysiology, diagnosis, and management.
Main Results:
- Understanding of SCAD's pathophysiology, natural history, and clinical presentation is increasing.
- Diagnostic approaches and management strategies for SCAD are evolving.
Conclusions:
- SCAD is a significant condition requiring greater clinical awareness.
- An updated understanding of SCAD aids in its effective clinical management.
Abstract:
Spontaneous coronary artery dissection (SCAD) is a poorly understood and under-diagnosed entity of acute coronary syndrome, affecting predominantly young women. Relatively large series have been published in the past five years highlighting this condition, once believed to be rare. Indeed, the pathophysiology, natural history, clinical presentation, patient profile, diagnostic modalities, management and outcomes of SCAD are becoming better understood. The aim of our review is to provide a brief "state of the art" of SCAD in 2016 to help the clinician in the management of this challenging condition.
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