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==Overview==
==Overview==
According to the current practice guidelines, there is insufficient evidence to recommend routine screening for spontaneous coronary artery dissection.


==Screening==
==Screening==
 
* SCAD usually is the result of an underlying [[vascular]] or [[connective tissue disorders]]. In order to provide the best care to [[patients]] with SCAD, the scientific statement from the American Heart Association (AHA) recommended a detailed review of systems and personal and family history of SCAD-associated [[symptoms]] and [[conditions]]. <ref name="HayesKim2018">{{cite journal|last1=Hayes|first1=Sharonne N.|last2=Kim|first2=Esther S.H.|last3=Saw|first3=Jacqueline|last4=Adlam|first4=David|last5=Arslanian-Engoren|first5=Cynthia|last6=Economy|first6=Katherine E.|last7=Ganesh|first7=Santhi K.|last8=Gulati|first8=Rajiv|last9=Lindsay|first9=Mark E.|last10=Mieres|first10=Jennifer H.|last11=Naderi|first11=Sahar|last12=Shah|first12=Svati|last13=Thaler|first13=David E.|last14=Tweet|first14=Marysia S.|last15=Wood|first15=Malissa J.|title=Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association|journal=Circulation|volume=137|issue=19|year=2018|issn=0009-7322|doi=10.1161/CIR.0000000000000564}}</ref>
According to the current practice guidelines, there is insufficient evidence to recommend routine screening for spontaneous coronary artery dissection.<ref name="O'GaraKushner2013">{{cite journal|last1=O'Gara|first1=Patrick T.|last2=Kushner|first2=Frederick G.|last3=Ascheim|first3=Deborah D.|last4=Casey|first4=Donald E.|last5=Chung|first5=Mina K.|last6=de Lemos|first6=James A.|last7=Ettinger|first7=Steven M.|last8=Fang|first8=James C.|last9=Fesmire|first9=Francis M.|last10=Franklin|first10=Barry A.|last11=Granger|first11=Christopher B.|last12=Krumholz|first12=Harlan M.|last13=Linderbaum|first13=Jane A.|last14=Morrow|first14=David A.|last15=Newby|first15=L. Kristin|last16=Ornato|first16=Joseph P.|last17=Ou|first17=Narith|last18=Radford|first18=Martha J.|last19=Tamis-Holland|first19=Jacqueline E.|last20=Tommaso|first20=Carl L.|last21=Tracy|first21=Cynthia M.|last22=Woo|first22=Y. Joseph|last23=Zhao|first23=David X.|title=2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction|journal=Journal of the American College of Cardiology|volume=61|issue=4|year=2013|pages=e78–e140|issn=07351097|doi=10.1016/j.jacc.2012.11.019}}</ref><ref name="AmsterdamWenger2014">{{cite journal|last1=Amsterdam|first1=Ezra A.|last2=Wenger|first2=Nanette K.|last3=Brindis|first3=Ralph G.|last4=Casey|first4=Donald E.|last5=Ganiats|first5=Theodore G.|last6=Holmes|first6=David R.|last7=Jaffe|first7=Allan S.|last8=Jneid|first8=Hani|last9=Kelly|first9=Rosemary F.|last10=Kontos|first10=Michael C.|last11=Levine|first11=Glenn N.|last12=Liebson|first12=Philip R.|last13=Mukherjee|first13=Debabrata|last14=Peterson|first14=Eric D.|last15=Sabatine|first15=Marc S.|last16=Smalling|first16=Richard W.|last17=Zieman|first17=Susan J.|title=2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes|journal=Journal of the American College of Cardiology|volume=64|issue=24|year=2014|pages=e139–e228|issn=07351097|doi=10.1016/j.jacc.2014.09.017}}</ref>
* In addition, AHA scientific statement recommended a complete [[vascular]] exam with [[palpation]] and [[ausculattion]] of the following [[arteries]]:
* [[Abdominal aorta]]
* [[Cervical carotid arteries]]
* Peripheral arteries of the upper and lower extremities


==References==
==References==

Revision as of 05:49, 27 January 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: Nate Michalak, B.A.

Synonyms and keywords: SCAD

Overview

Screening

References

  1. ↑ 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. 137 (19). doi:10.1161/CIR.0000000000000564. ISSN 0009-7322.
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