Spontaneous coronary artery dissection: Difference between revisions

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{{Spontaneous coronary artery dissection}}
{{Spontaneous coronary artery dissection}}
{{CMG}}; {{AE}} {{NRM}}, {{AKK}}
{{CMG}}; {{AE}} {{NRM}}; {{AKK}};


{{SK}} SCAD
{{SK}} SCAD
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==Diagnosis==
==Diagnosis==
[[Spontaneous coronary artery dissection history and symptoms|History and Symptoms]] | [[Spontaneous coronary artery dissection physical examination|Physical Examination]] | [[Spontaneous coronary artery dissection laboratory findings|Laboratory Findings]] | [[Spontaneous coronary artery dissection electrocardiogram|Electrocardiogram]] | [[Spontaneous coronary artery dissection angiography|Angiography]] | [[Spontaneous coronary artery dissection CT|CT]] | [[Spontaneous coronary artery dissection MRI|MRI]] | [[Spontaneous coronary artery dissection echocardiography|Echocardiography]] | [[Spontaneous coronary artery dissection other imaging findings|Other Imaging Findings]] | [[Spontaneous coronary artery dissection other diagnostic studies|Other Diagnostic Studies]]
[[Spontaneous coronary artery dissection diagnostic approach|Diagnostic Approach]] | [[Spontaneous coronary artery dissection history and symptoms|History and Symptoms]] | [[Spontaneous coronary artery dissection physical examination|Physical Examination]] | [[Spontaneous coronary artery dissection laboratory findings|Laboratory Findings]] | [[Spontaneous coronary artery dissection electrocardiogram|Electrocardiogram]] | [[Spontaneous coronary artery dissection angiography|Angiography]] | [[Spontaneous coronary artery dissection CT|CT]] | [[Spontaneous coronary artery dissection MRI|MRI]] | [[Spontaneous coronary artery dissection echocardiography|Echocardiography]] | [[Spontaneous coronary artery dissection other imaging findings|Other Imaging Findings]] | [[Spontaneous coronary artery dissection other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
[[Spontaneous coronary artery dissection medical therapy|Medical Therapy]] | [[Spontaneous coronary artery dissection percutaneous coronary intervention|Percutaneous Coronary Intervention]] | [[Spontaneous coronary artery dissection surgery|Surgery]] | [[Spontaneous coronary artery dissection primary prevention|Primary Prevention]] | [[Spontaneous coronary artery dissection secondary prevention|Secondary Prevention]] | [[Spontaneous coronary artery dissection cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Spontaneous coronary artery dissection future or investigational therapies|Future or Investigational Therapies]]
[[Spontaneous coronary artery dissection treatment approach|Treatment Approach]] | [[Spontaneous coronary artery dissection medical therapy|Medical Therapy]] | [[Spontaneous coronary artery dissection percutaneous coronary intervention|Percutaneous Coronary Intervention]] | [[Spontaneous coronary artery dissection surgery|Surgery]] | [[Spontaneous coronary artery dissection primary prevention|Primary Prevention]] | [[Spontaneous coronary artery dissection secondary prevention|Secondary Prevention]] | [[Spontaneous coronary artery dissection cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Spontaneous coronary artery dissection future or investigational therapies|Future or Investigational Therapies]]


 
==Case Studies==
 
 ● '''Type 1:''' 
=='''MANAGEMENT ALGORITHM FOR SPONTANEOUS CORONARY ARTERY DISSECTION'''== <ref name="pmid25406203">{{cite journal| author=Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS et al.| title=Spontaneous coronary artery dissection: revascularization versus conservative therapy. | journal=Circ Cardiovasc Interv | year= 2014 | volume= 7 | issue= 6 | pages= 777-86 | pmid=25406203 | doi=10.1161/CIRCINTERVENTIONS.114.001659 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25406203  }} </ref>
[[Spontaneous coronary artery dissection type 1 case 1|Case 1]] |
 
[[Spontaneous coronary artery dissection type 1 case 2|Case 2]] |
{{Familytree/start}}
[[Spontaneous coronary artery dissection type 1 case 3|Case 3]] |
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 1 case 4|Case 4]] |
{{Familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | | | | | | | A01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | A01=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">'''Spontaneous Coronary Artery Dissection (SCAD)'''</div>}}
[[Spontaneous coronary artery dissection type 1 case 5|Case 5]] |  
{{Familytree | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 1 case 6|Case 6]] |
{{Familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | B01 | | | | | | | | | | B02 | | | | | | | | | | | | | | | | | | | | | | | | | B01= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">'''Stable,no high-risk feature'''</div>|B02= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;"> '''High-risk feature present'''</div>}}
[[Spontaneous coronary artery dissection type 1 case 7|Case 7]]
{{familytree | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | }}
<BR>
{{familytree | | | |!| | | | | | | |,|-|-|-|^|-|-|-|v|-|-|-|v|-|-|-|.| | | | | | | | | | | | | | }}
&nbsp;●&nbsp;'''Type 2A:'''&nbsp;
{{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | |!| | | | | | | C01 | | | | | | C02 | | C03 | | C04 | | | | | | | | | | | | | C01=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 30px;">Left main dissection</div>|C02=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 30px;">Ongoing/recurrent ischemia</div>|C03=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 20px;">Ventricular tachycardia or fibrillation</div>|C04=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 30px;">Cardiogenic shock</div>}}
[[Spontaneous coronary artery dissection type 2A case 1|Case 1]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |`|-|v|-|'| | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2A case 2|Case 2]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | |!| | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2A case 3|Case 3]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | Z01 | | | | | | | | | | | | | | | Z01=Hemodynamically unstable?}}
[[Spontaneous coronary artery dissection type 2A case 4|Case 4]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | |!| | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2A case 5|Case 5]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |,|-|^|-|.| | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2A case 6|Case 6]]
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | D01 | | D02 | | | | | | | | | | | | | D01=No | D02=Yes }}
<BR>
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | |!| | | | | | | | | | | | | | }}
&nbsp;●&nbsp;'''Type 2B:'''&nbsp;
{{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | E01 | | | | | | | | | | | | | E01=<div style="text-align: center; background: #87CEFA; font-weight: bold; padding: 30px;">Consider: Intra-aortic balloon pump, Extra corporeal membrane oxygenation, Left ventricular assist device, Implantable cardioverter defibrillator</div>}}
[[Spontaneous coronary artery dissection type 2B case 1|Case 1]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | |!| | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2B case 2|Case 2]] |
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | |!| | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2B case 3|Case 3]] |
{{familytree | | | |!| | | | | |,|-|^|-|.| | | | | |`|-|v|-|'| | | |!| | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 2B case 4|Case 4]]
{{familytree | | | |!| | | | | |!| | | |!| | | | | | | |!| | | | | |!| | | | | | | | | | | | | | }}
<BR>
{{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | |!| | | | | F01 | | F02 | | | | | | F03 |-|-|-|-|'| | | | | | | | | | | | | | F01= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 30px;">Isolated Left Main</div>|F02= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">Involving Left Anterior Descending (LAD +/or circumflex</div>| F03= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 30px;">Is percutaneous coronary intervention (PCI) feasible?</div>}}
&nbsp;●&nbsp;'''Type 3:'''&nbsp;
{{familytree | | | |!| | | | | |!| | | |!| | | | | | | |!| | | | | | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 3 case 1|Case 1]] |
{{familytree | | | |!| | | | | |!| | | |!| | | | | |,|-|^|-|-|-|.| | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 3 case 2|Case 2]] |
{{familytree | | | |!| | | | | |!| | | |!| | | | | G01 | | | | G02 | | | | | | | | | | | | | | |  G01=No | G02=Yes }}
[[Spontaneous coronary artery dissection type 3 case 3|Case 3]] |
{{familytree | | | |!| | | | | |!| | | |!| | | | | |!| | | | | |!| | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 3 case 4|Case 4]] |
{{familytree | | | |!| | | | | |!| | | |!| | | | | H01 | | | | |!| | | | | | | | | | | | | | | | H01 = Ostial LAD or ≥ 2 proximal SCAD?}}
[[Spontaneous coronary artery dissection type 3 case 5|Case 5]] |
{{familytree | | | |!| | | | | |!| | | |!| | | |,|-|^|-|.| | | |!| | | | | | | | | | | | | | | | }}
[[Spontaneous coronary artery dissection type 3 case 6|Case 6]]
{{familytree | | | I02 | | | | I03 | | |`|-|-| I01 | | I02 | | I03 | | | | | | | | | | | | | | | I01=Coronary artery bypassing | I02=Conservative therapy | I03=PCI}}
{{familytree | | | |`|-|-|-|-|-|^|-|-|-|v|-|-|-|^|-|-|-|^|-|-|-|'| | | | | | | | | | | | | | | | }}
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | }} 
{{familytree | | | | | | | | | | | | | J01 | | | | | | | | | | | | | | | | | | | | | | | | | | | J01='''Adjunctive medical therapy''' <BR> Aspirin and beta-blocker (± clopidogrel, ACEI/ARB, statin)}}
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
{{familytree | | | | | | | | | | | | | K01 | | | | | | | | | | | | | | | | | | | | | | | | | | | K01=Monitor in-hospital for 3 to 5 days}}
{{Family tree/end}}

Latest revision as of 12:54, 12 March 2022

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: Nate Michalak, B.A.; Arzu Kalayci, M.D. [2];

Synonyms and keywords: SCAD

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Any Disease 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:  Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | Case 7
 ● Type 2A:  Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6
 ● Type 2B:  Case 1 | Case 2 | Case 3 | Case 4
 ● Type 3:  Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6

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