Spontaneous coronary artery dissection differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{details|acute coronary syndromes|differential diagnosis of acute coronary syndrome}} | |||
Demographic characteristics that raise the index of suspicion for SCAD include:<ref name="pmid24227590">{{cite journal| author=Saw J| title=Coronary angiogram classification of spontaneous coronary artery dissection. | journal=Catheter Cardiovasc Interv | year= 2014 | volume= 84 | issue= 7 | pages= 1115-22 | pmid=24227590 | doi=10.1002/ccd.25293 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24227590 }}</ref> | Albeit an infrequent condition, spontaneous coronary artery dissection (SCAD) should be included in the differential diagnosis of [[acute coronary syndrome|acute coronary syndrome]], particularly among young women with risk factors such as [[vasculopathy]], [[pregnancy]], [[connective tissue disorder]], [[systemic inflammation]], [[exercise|strenuous exercise]], [[emotional stress]], or [[recreational drug use]]. Although intracoronary imaging such as [[intravascular ultrasound|intravascular ultrasound (IVUS)]] and [[optical coherence tomography|optical coherence tomography (OCT)]] may be required for establishing a definitive diagnosis of SCAD, demographic and angiographic characteristics may be useful in differentiating SCAD from other causes of [[myocardial ischemia]]. | ||
'''Demographic characteristics that raise the index of suspicion for SCAD include:'''<ref name="pmid24227590">{{cite journal| author=Saw J| title=Coronary angiogram classification of spontaneous coronary artery dissection. | journal=Catheter Cardiovasc Interv | year= 2014 | volume= 84 | issue= 7 | pages= 1115-22 | pmid=24227590 | doi=10.1002/ccd.25293 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24227590 }}</ref> | |||
* [[Myocardial infarction]] in young women (age ≤50) | * [[Myocardial infarction]] in young women (age ≤50) | ||
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:* [[Giant cell arteritis]] | :* [[Giant cell arteritis]] | ||
Angiographic characteristics | '''Angiographic characteristics that favor the diagnosis of SCAD include:''' | ||
==References== | ==References== | ||
Revision as of 17:24, 1 December 2017
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Spontaneous Coronary Artery Dissection Microchapters |
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Differentiating Spontaneous coronary artery dissection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Type 1 Type 2A Type 2B Type 3 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arzu Kalayci, M.D. [2]
Synonyms and keywords: SCAD
Overview
Differential Diagnosis
Albeit an infrequent condition, spontaneous coronary artery dissection (SCAD) should be included in the differential diagnosis of acute coronary syndrome, particularly among young women with risk factors such as vasculopathy, pregnancy, connective tissue disorder, systemic inflammation, strenuous exercise, emotional stress, or recreational drug use. Although intracoronary imaging such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT) may be required for establishing a definitive diagnosis of SCAD, demographic and angiographic characteristics may be useful in differentiating SCAD from other causes of myocardial ischemia.
Demographic characteristics that raise the index of suspicion for SCAD include:[1]
- Myocardial infarction in young women (age ≤50)
- Absence of traditional cardiovascular risk factors
- Little or no evidence of coronary atherosclerosis
- Peripartum state
- History of fibromuscular dysplasia
- History of connective tissue disorder or systemic inflammatory disorder:
Angiographic characteristics that favor the diagnosis of SCAD include:
References
- ↑ Saw J (2014). "Coronary angiogram classification of spontaneous coronary artery dissection". Catheter Cardiovasc Interv. 84 (7): 1115–22. doi:10.1002/ccd.25293. PMID 24227590.