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| ==Historical Perspective== | | ==Historical Perspective== |
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| Over the next 8 decades, subsequent SCAD publications consisted mostly of isolated case reports and small case series. However, there has been a surge in the diagnosis of SCAD in recent years, presumably due to the increased use of coronary angiography in patients presenting with acute coronary syndromes (ACS), as well as the clinical availability and application of high-resolution intracoronary imaging (especially optical coherence tomography [OCT]) that enhances diagnosis. As such, of the w1,500 reported SCAD cases to date, about one-half were published in the past 5 years (5–15). The improved recognition and diagnosis, together with the increased number of publications and attention through social media, have considerably raised awareness of this condition (16), once believed to be very rare. The first online community of SCAD patients on Inspire (17), developed by WomenHeart (The National Coalition for Women With Heart Disease) as a social networking site, has improved patient awareness. Simultaneously, publications of larger contemporary case series of SCAD have helped elucidate the early natural history, presenting char- acteristics (clinical and angiographic), the underlying etiology, the management, and the outcomes of this condition. These studies have provided observations and important clinical insights, reflected in expert opinions on management strategies, which are of value to clinicians managing this challenging and perplexing patient cohort.
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| ==References== | | ==References== |
Revision as of 17:17, 22 November 2017