Spontaneous coronary artery dissection, challenges of diagnosis and management

Mohamed A. Ahmed, Mardi Hamra, Mohamed Ali, Abdullah S. Abdullah, Samer Arnous, Thomas J. Kiernan

Research output: Contribution to journalArticlepeer-review

Abstract

Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndrome in young patients. No clear factors exist to predict the natural history of the disease and the prognosis of the condition. Furthermore, current management practice of SCAD is based mainly on retrospective data and case series and clear management guidelines are lacking. In this article, we present a series of cases of patients with SCAD and we will discuss the different clinical presentations, the diagnostic approaches and the options of management of this cohort of patients. Our aim is to outline the challenges of diagnosis and management of this interesting and serious pathology.

Original languageEnglish
Pages (from-to)539-549
Number of pages11
JournalFuture Cardiology
Volume13
Issue number6
DOIs
Publication statusPublished - Nov 2017
Externally publishedYes

Keywords

  • acute coronary syndrome
  • intravascular ultrasound
  • optical coherence tomography
  • percutaneous coronary artery intervention
  • spontaneous coronary artery dissection

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