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Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Acute Coronary Syndrome I: Introduction01:30

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
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The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
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Related Experiment Video

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Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
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Multivessel spontaneous coronary artery dissection with simultaneously three different angiographic patterns.

H Ben Ahmed1, E Allouche1, A Rekik1

  • 1Cardiology Department, Charles-Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University of Tunis-El-Manar 2092 Tunis, Tunisia.

Annales De Cardiologie Et D'Angeiologie
|August 29, 2020
PubMed
Summary

Spontaneous coronary artery dissection (SCAD) is a rare cause of heart attack, particularly in women. This case highlights successful medical management for multivessel SCAD, offering hope for similar patients.

Keywords:
Acute coronary syndromeDissection coronaire multitronculaireDissection coronaire spontanéeMultivessel coronary artery dissectionSpontaneous coronary artery dissectionSyndrome coronaire aigu

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Area of Science:

  • Cardiology
  • Vascular Biology
  • Internal Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is a non-traumatic dissection of the coronary artery wall.
  • SCAD is an increasingly recognized cause of acute coronary syndrome (ACS), especially in young to middle-aged women.
  • It often occurs in individuals lacking traditional cardiovascular risk factors.

Observation:

  • This report details an unusual case of a middle-aged woman diagnosed with multivessel SCAD.
  • The patient presented with acute coronary syndrome.
  • No significant traditional cardiovascular risk factors were identified.

Findings:

  • The patient experienced spontaneous coronary artery dissection affecting multiple coronary arteries.
  • Successful medical management was achieved for the multivessel SCAD.
  • This contrasts with some SCAD cases requiring more invasive interventions.

Implications:

  • This case underscores that SCAD can affect multiple coronary arteries simultaneously.
  • It demonstrates the potential efficacy of conservative medical management in select multivessel SCAD cases.
  • Further research into SCAD pathophysiology and optimal treatment strategies is warranted.