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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
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Spontaneous Coronary Artery Dissection: A Case Series of 9 Patients With Literature Review

Ali Raza Ghani1, Faisal Inayat2, Nouman Safdar Ali2

  • 1Abington Hospital - Jefferson Health, Abington, PA, USA.

Journal of Investigative Medicine High Impact Case Reports
|May 1, 2018
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) is a serious condition causing heart attacks. This study reviews SCAD cases, highlighting diagnostic and treatment challenges and offering insights into its natural history.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Internal Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is an emerging cause of acute coronary syndrome (ACS).
  • Limited data exist on the prognosis and natural history of SCAD.
  • SCAD presents diagnostic and therapeutic challenges due to a lack of specific guidelines.

Purpose of the Study:

  • To present a case series of 9 patients with SCAD.
  • To review the incidence, clinical characteristics, and risk factors of SCAD.
  • To summarize diagnostic modalities, therapeutic approaches, and recurrence patterns in SCAD.

Main Methods:

  • Case series analysis of 9 SCAD patients.
  • Literature review of SCAD incidence, characteristics, risk factors, diagnosis, treatment, and recurrence.

Main Results:

  • SCAD is a nonatherosclerotic cause of ACS.
  • Diagnostic and therapeutic strategies for SCAD remain challenging.
  • Understanding SCAD's natural history is crucial for patient management.

Conclusions:

  • SCAD requires further investigation due to its increasing recognition.
  • Comprehensive review of SCAD provides insights for clinical practice.
  • Management of SCAD necessitates tailored approaches based on available evidence.

Keywords:
acute coronary syndromediagnosisfibromuscular dysplasiamanagementmyocardial infarctionpregnancy-associated spontaneous coronary artery dissectionspontaneous coronary artery dissection

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