Spontaneous coronary artery dissection screening: Difference between revisions
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{{Spontaneous coronary artery dissection}} | {{Spontaneous coronary artery dissection}} | ||
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{{SK}} SCAD | {{SK}} SCAD |
Revision as of 07:00, 27 January 2021
Spontaneous Coronary Artery Dissection Microchapters |
Differentiating Spontaneous coronary artery dissection from other Diseases |
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Diagnosis |
Treatment |
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: Sahar Memar Montazerin, M.D.[2]
Synonyms and keywords: SCAD
Overview
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. In addition, AHA scientific statement recommended a complete vascular exam. Routine clinical or genetic screening of asymptomatic relatives of patients with SCAD is not recommended. However, genetic screening is recommended in first-degree family members of patients with SCAD in whom a monogenic vascular disease has been identified.
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. [1]
In addition, AHA scientific statement recommended a complete vascular exam with palpation and auscultation of the following arteries:
- Abdominal aorta
- Cervical carotid arteries
- Peripheral arteries of the upper and lower extremities
Screening Questions
AHA scientific statement recommended a list of questions to rule out SCAD-associated vasculopathy and connective tissue disorders: [1]
Screening Questions: | |||||||||||||||||||||||
Personal history of the following conditions: ❑ Early-onset hypertension Family history of the following conditions: ❑ Dissection (coronary, aortic, peripheral) Review of systems (history of any of the following symptoms) ❑ Headaches ❑ Pulsatile tinnitus ❑ Postprandial abdominal pain ❑ Flank pain ❑ Claudication ❑ Easy bruising ❑ Joint hypermobility or laxity | |||||||||||||||||||||||
The above table adopted from AHA scientific statement [1] |
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Genetic Screening of Family Members
- Genetic screening is recommended in first-degree family members of patients with SCAD in whom a monogenic vascular disease has been identified. [1]
- Routine clinical or genetic screening of asymptomatic relatives of patients with SCAD is not recommended.
References
- ↑ 1.0 1.1 1.2 1.3 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.