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Updated: Nov 21, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

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Spontaneous coronary artery dissection with cardiogenic shock: How frequent is it? How should we treat it?

Timothy Smith1, Timothy D Henry1

  • 1The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|January 18, 2021
PubMed

Insights

Spontaneous Coronary Artery Dissection (SCAD) with STEMI can cause cardiogenic shock, especially in younger women. Appropriate management of SCAD patients with cardiogenic shock leads to excellent long-term outcomes.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Spontaneous Coronary Artery Dissection (SCAD) accounts for 1-2% of ST-elevation myocardial infarction (STEMI) and up to 25% in women under 50.
  • Cardiogenic shock occurs in 2-3% of SCAD patients overall, but up to 25% of SCAD patients with STEMI.

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