Spontaneous coronary artery dissection differential diagnosis: Difference between revisions
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* [[Myocardial infarction]] in young women (age ≤50) | * [[Myocardial infarction]] in young women (age ≤50) | ||
* Absence of traditional [[Cardiovascular disease#Risk factors|cardiovascular risk factors]] | * Absence of traditional [[Cardiovascular disease#Risk factors|cardiovascular risk factors]] | ||
* [[Peripartum|Peripartum state]] | * [[Peripartum|Peripartum state]] | ||
* History of [[fibromuscular dysplasia]] | * History of [[fibromuscular dysplasia]] | ||
Revision as of 17:25, 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
- 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.