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2.1
Idiopathic Spontaneous Coronary Artery Dissection
Idiopathic SCAD

Presentation

Case presentation: This report describes a 35-year-old female who presented with an acute inferior ST elevation... [connection.ebscohost.com]

Presentation and patient characteristics Patients presenting with SCAD have a spectrum of clinical presentation, and fortunately, the majority appear to present with ACS with good in-hospital prognosis ( 13 ). [cdt.amegroups.com]

While coronary artery dissection may present as acute myocardial infarction or as sudden death, sudden death accounts for the majority of presentations, thus leading to diagnosis usually at autopsy. [omicsonline.org]

Presentation A 48 year old premonopausal female with no evident risk factors of ischemic heart disease presented with acute chest pain. ECG revealed acute anterior wall infarct without any significant heamodynamic abnormality. [ispub.com]

Additionally, five patients had delayed presentation after the initial event, the longest delay in presentation being a patient who presented following a cycling tour who had suffered angina pain for four months but had not sought medical attention [9 [ijcasereportsandimages.com]

Treatment

Idiopathic Spontaneous Coronary Artery Dissection: Incidence, Diagnosis And Treatment نويسند‌گان: [ Micha Maeder ] - Division of Cardiology, Department of Internal Medicine, Hospital of St. Gallen, CH-9007 St. [scipers.com]

Less is known about characteristics, treatment and follow-up of patients with spontaneous coronary artery dissection (SCAD) without associated pregnancy or underlying atherosclerosis. [ncbi.nlm.nih.gov]

However, the optimal treatment strategy remains unknown. In this case report, we describe a patient with SCAD undergoing PCI, where intravascular ultrasound (IVUS) guidance was essential for successful treatment. [scitechnol.com]

Idiopathic spontaneous coronary artery dissection incidence diagnosis and treatment lasts. Criminals were the thornbills. Sycophantical spinas were the roly soapstones. Washes were the leaved mainmasts. Paperworks will being controverting. [knocpeast.irran.ru]

Idiopathic spontaneous coronary artery dissection: incident, diagnosis and treatment. Int J Cardiol. 2005;101:363-9. Medline 3. Arnold JR, West NE, Van Gaal WJ, Karamitsos TD, Banning A.P. [revespcardiol.org]

Prognosis

Long term prognosis is reported as variable. [scorgloballifeamericas.com]

On the basis of this series and data from the literature, we suggest a strategy to improve the often dire prognosis of SCAD. Emergency angiography to confirm diagnosis is essential. [karger.com]

第58回六甲カルディアックセミナー/2011-08-06 Long-Term Prognosis of Stent Thrombosis Treated With Drug-Eluting and Bare-Metal Stents: From ICAS Registry. Kakefuda Y; Satoh Y; Takeyasu N; Ojima E; Naruse Y; Hoshi... [trios.tsukuba.ac.jp]

The pattern and/or severity of presentation and prognosis are related to the vessels involved. For example, left main, left anterior descending and multi-vessel disease have the poorest prognosis. [gamma.wustl.edu]

Retrospective Case-identification Denmark Heart Registry Study Describe incidence of SCAD Describe predictors of SCAD Describe prognosis of SCAD SCAD was identified in 22 of 32,869 (0.7%) of angiograms. [bestbets.org]

Etiology

Massive spontaneous hemoperitoneum of unknown etiology: A case report. Suber, Jr., W. [connection.ebscohost.com]

Each chapter includes eight to ten gross and microscopic photographs with legends highlighting the pathologic features of the disease, as well as succinct text covering etiology, clinical aspects, and differential diagnosis. [books.google.com]

Regarding the etiology, SCAD is classified broadly into two groups: atherosclerotic and non-atherosclerotic SCAD. [clinmedjournals.org]

We found 4 cases of SCAD unrelated to pregnancy where recent emotional stressors were postulated a contributing etiological factor in women [ 7, 8, 9, 10 ]. [em-consulte.com]

The case of a 52-year-old woman with SCAD of unknown etiology is reported. 1. Tweet MS, Hayes SN, Pitta SR, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. [degruyter.com]

Epidemiology

Portilla-Queved, Diego; Hernández-Giraldo, Cristian; Sarmiento-Hernández, Piedad; Zuluaga-Liberato, Andrea // Revista Colombiana de Obstetricia y Ginecologia;ene-mar2013, Vol. 64 Issue 1, p67 Objective: To undertake a review of the literature on the epidemiology [connection.ebscohost.com]

[…] benefit from a more conservative therapy that focuses on controlling blood pressure, such as beta blockers. [18] Prognosis [ edit ] The condition is often fatal and is mostly recognized at postmortem examination in young victims of sudden death. [19] [20] Epidemiology [en.wikipedia.org]

The aim of this paper is to review the epidemiology, etiology, presentation, diagnosis and management of SCAD. [cdt.amegroups.com]

Epidemiology, Etiology, and Demographics SCAD prevalence remains uncertain and in retrospective studies has been reported as 0.07% to 1.1% (1,5–7). [imaging.onlinejacc.org]

Pathophysiology

The pathophysiology of spontaneous coronary artery dissection during the peripartum period is poorly understood. We present a case of spontaneous multivessel dissection in a 32-year-old... [connection.ebscohost.com]

Acute Myocardial Infarction and Cocaine: Three Pathophysiological Models Abstract In recent years, growing cocaine use worldwide hasincreased the rate of associated cardiovascular complications.Some studies found that about 30% of the addictionvisits [ppct.caicyt.gov.ar]

The probable mechanisms associated with SCAD have been reported so that patients can be separated into three different pathophysiologic groups according to their condition: 1) the non-atherosclerotic, peripartum period group; 2) the atherosclerotic group [synapse.koreamed.org]

Although the cause of SCAD may be atherosclerotic or non-atherosclerotic, contemporary usage of the term "SCAD" has focused on and is synonymous with the non-atherosclerotic variant, which has distinct pathophysiology, management, and outcomes from atherosclerotic [raredr.com]

The pathophysiology involves hemorrhage between the medial layer and the external elastic lamina, leading to separation of the layers, expansion of a false lumen, and compression of the native lumen that results in ischemia. 2 Rupture and hemorrhage of [revespcardiol.org]

Prevention

Prevention - Coronary artery dissection Not supplied. Diagnosis - Coronary artery dissection SCAD's have been known to occur during exercise and at rest. SCAD's are usually diagnosed by angiogram and stenting may be necessary to re-open the artery. [checkorphan.org]

We also covered the entire lesion with coronary stents, including the hematoma, so as to prevent propagation to the distal vessel. In conclusion, SCAD is a very rare but serious cause of ACS. [synapse.koreamed.org]

For medical management, aspirin and beta-blocker are typically administered long-term for secondary thrombotic prevention and reduction of arterial shear-stress, respectively. [raredr.com]

Intracoronary thombus prevented visualization of the whole coronary structure in 61% of patients. 16 patients were withdrawn due to poor OCT images. [bestbets.org]

Beta-blockers and nitrates are often used to prevent superimposed vapospasm. In cases of myocardial ischemia or compromised coronary flow, reperfusion therapy is used. In patients with severe ischemia, coronary-artery bypass grafting is done. [web.colby.edu]

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