Spontaneous coronary artery dissection treatment approach
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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: Nate Michalak, B.A.
Synonyms and keywords: SCAD
Overview
Algorithm for management of acute spontaneous coronary artery dissection: A Scientific Statement From the American Heart Association
Algorithm for manage- ment of acute spontaneous coro- nary artery dissection.[1]
| Coronary angiography after intracoronary nitrates | |||||||||||||||||||||||||||||||||||||||
| Type 1 SCAD (arterial wall stain, multiple lumens) | Type 2 SCAD (intramural hematoma, diffuse, smooth stenoses) | Type 3 SCAD (mimics atherosclerosis) | |||||||||||||||||||||||||||||||||||||
| If diagnostic uncertainty, consider adjunctive diagnostic strategies: ❑ OCT/IVUS if feasible/safe ❑ CT coronary angiography ❑ CTA/MRA/angiographic imaging for extracoronary vasculopathy/FMD ❑ Repeat coronary angiography at 6–8 weeks | |||||||||||||||||||||||||||||||||||||||
Abbreviations:
CT, computed tomography;
CTA, computed tomography angiography;
FMD, bromuscular dysplasia;
IVUS, intravascular ultrasonography;
MRA, magnetic resonance angiography;
OCT, optical coherence tomography.
References
- ↑ Hayes, Sharonne N.; Kim, Esther S.H.; Saw, Jacqueline; Adlam, David; Arslanian-Engoren, Cynthia; Economy, Katherine E.; Ganesh, Santhi K.; Gulati, Rajiv; Lindsay, Mark E.; Mieres, Jennifer H.; Naderi, Sahar; Shah, Svati; Thaler, David E.; Tweet, Marysia S.; Wood, Malissa J. (2018). "Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association". Circulation: CIR.0000000000000564. doi:10.1161/CIR.0000000000000564. ISSN 0009-7322.