Spontaneous coronary artery dissection MRI: Difference between revisions

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__NOTOC__
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{{Spontaneous coronary artery dissection}}
{{Spontaneous coronary artery dissection}}
{{CMG}}; {{AE}}{{NRM}}
{{CMG}}; {{AE}}{{Sara.Zand}}


{{SK}} SCAD
{{SK}} SCAD


==Overview==
==Overview==
There are no [[MRI]] findings associated with the spontaneous coronary artery dissection. [[Magnetic resonance angiography]] may be useful in the detection of [[aneurysms]]. However, MRA is associated with long scanning time and it may also have false negative or positive results.
[[Cardiac magnetic resonance]] ([[CMR]]) is a valuable tool for diagnosis of [[spontaneose coronary artery dissection]] ([[SCAD]]) in [[patients]] as follows:
[[pregnant]] women for avoiding  [[radiation]] of [[coronary angiography]], unclear evidence of [[acute coronary syndrome]] during [[coronary angiography]], differentiating of [[SCAD]] from [[myocarditis]], [[takotsubo cardiomyopathy]]. Findings of [[CMR]] associated with [[SCAD]] include evidence of [[myocardial infarction]] with subendocardial [[LGE]],[[microvascular obstruction]], [[ myocardial edema]]
 
==MRI==
==MRI==
*[[Cardiac magnetic resonance]] ([[CMR]]) is a valuable tool for diagnosis of [[spontaneose coronary artery dissection]] ([[SCAD]]) in patients as follows:<ref name="HassanPrakash2019">{{cite journal|last1=Hassan|first1=Saber|last2=Prakash|first2=Roshan|last3=Starovoytov|first3=Andrew|last4=Saw|first4=Jacqueline|title=Natural History of Spontaneous Coronary Artery Dissection With Spontaneous Angiographic Healing|journal=JACC: Cardiovascular Interventions|volume=12|issue=6|year=2019|pages=518–527|issn=19368798|doi=10.1016/j.jcin.2018.12.011}}</ref>
*[[Cardiac magnetic resonance]] ([[CMR]]) is a valuable tool for diagnosis of [[spontaneose coronary artery dissection]] ([[SCAD]]) in patients as follows:<ref name="HassanPrakash2019">{{cite journal|last1=Hassan|first1=Saber|last2=Prakash|first2=Roshan|last3=Starovoytov|first3=Andrew|last4=Saw|first4=Jacqueline|title=Natural History of Spontaneous Coronary Artery Dissection With Spontaneous Angiographic Healing|journal=JACC: Cardiovascular Interventions|volume=12|issue=6|year=2019|pages=518–527|issn=19368798|doi=10.1016/j.jcin.2018.12.011}}</ref><ref name="pmid32695643">{{cite journal |vauthors=Chandrasekhar J, Thakkar J, Starovoytov A, Mayo J, Saw J |title=Characteristics of spontaneous coronary artery dissection on cardiac magnetic resonance imaging |journal=Cardiovasc Diagn Ther |volume=10 |issue=3 |pages=636–638 |date=June 2020 |pmid=32695643 |pmc=7369282 |doi=10.21037/cdt.2020.02.01 |url=}}</ref>


* [[Pregnant]] women for avoiding  [[radiation]] of [[coronary angiography]]
::* [[Pregnant]] women for avoiding  [[radiation]] of [[coronary angiography]]
* Unclear evidence of [[acute coronary syndrome]] during [[coronary angiography]]
::* Unclear evidence of [[acute coronary syndrome]] during [[coronary angiography]]
* Differentiating of [[SCAD]] from [[myocarditis]], [[takotsubo cardiomyopathy]]
::* Differentiating of [[SCAD]] from [[myocarditis]], [[takotsubo cardiomyopathy]]
::* Findings of [[CMR]] associated with [[SCAD]] include:
*Findings of [[CMR]] associated with [[SCAD]] include:
* Evidence of [[myocardial infarction]] with subendocardial [[LGE]]
* Evidence of [[myocardial infarction]] with subendocardial [[LGE]]
* [[Microvascular obstruction]]
* [[Microvascular obstruction]]
*[[ Myocardial edema]]
*[[ Myocardial edema]]
==MRA==
* [[Magnetic resonance angiography]] may be useful in the detection of [[aneurysms]]. However, MRA is associated with long scanning time and it may also have false negative or positive results.


==References==
==References==

Latest revision as of 17:04, 7 March 2021

Spontaneous Coronary Artery Dissection Microchapters

Home

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Spontaneous coronary artery dissection from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Approach

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Angiography

CT

MRI

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Treatment Approach

Medical Therapy

Percutaneous Coronary Intervention

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Type 1

Type 2A

Type 2B

Type 3

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]

Synonyms and keywords: SCAD

Overview

Cardiac magnetic resonance (CMR) is a valuable tool for diagnosis of spontaneose coronary artery dissection (SCAD) in patients as follows: pregnant women for avoiding radiation of coronary angiography, unclear evidence of acute coronary syndrome during coronary angiography, differentiating of SCAD from myocarditis, takotsubo cardiomyopathy. Findings of CMR associated with SCAD include evidence of myocardial infarction with subendocardial LGE,microvascular obstruction, myocardial edema

MRI

References

  1. ↑ Hassan, Saber; Prakash, Roshan; Starovoytov, Andrew; Saw, Jacqueline (2019). "Natural History of Spontaneous Coronary Artery Dissection With Spontaneous Angiographic Healing". JACC: Cardiovascular Interventions. 12 (6): 518–527. doi:10.1016/j.jcin.2018.12.011. ISSN 1936-8798.
  2. ↑ Chandrasekhar J, Thakkar J, Starovoytov A, Mayo J, Saw J (June 2020). "Characteristics of spontaneous coronary artery dissection on cardiac magnetic resonance imaging". Cardiovasc Diagn Ther. 10 (3): 636–638. doi:10.21037/cdt.2020.02.01. PMC 7369282 Check |pmc= value (help). PMID 32695643 Check |pmid= value (help).
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