Spontaneous coronary artery dissection diagnostic approach: Difference between revisions

	Spontaneous Coronary Artery Dissection Microchapters
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Overview
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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
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Echocardiography
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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 Case 1; Case 2; Case 3; Case 4; Case 5; Case 6; Case 7; Type 2A Case 1; Case 2; Case 3; Case 4; Case 5; Case 6; Type 2B Case 1; Case 2; Case 3; Case 4; Type 3 Case 1; Case 2; Case 3; Case 4; Case 5; Case 6;

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Revision as of 23:49, 1 December 2017

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

Diagnostic Approach

Management Algorithm for Spontaneous Coronary Artery Dissection ^[1]

Spontaneous Coronary Artery Dissection (SCAD)

Stable,no high-risk feature

High-risk feature present

Left main dissection

Ongoing/recurrent ischemia

Ventricular tachycardia or fibrillation

Cardiogenic shock

Hemodynamically unstable?

No

Yes

Consider: Intra-aortic balloon pump, Extra corporeal membrane oxygenation, Left ventricular assist device, Implantable cardioverter defibrillator

Isolated Left Main

Involving Left Anterior Descending (LAD +/or circumflex

Is percutaneous coronary intervention (PCI) feasible?

No

Yes

Ostial LAD or ≥ 2 proximal SCAD?

Conservative therapy

PCI

Coronary artery bypassing

Conservative therapy

PCI

Adjunctive medical therapy
Aspirin and beta-blocker (± clopidogrel, ACEI/ARB, statin)

Monitor in-hospital for 3 to 5 days

References

↑ Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS; et al. (2014). "Spontaneous coronary artery dissection: revascularization versus conservative therapy". Circ Cardiovasc Interv. 7 (6): 777–86. doi:10.1161/CIRCINTERVENTIONS.114.001659. PMID 25406203.

[pmid25406203-1] Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS; et al. (2014). "Spontaneous coronary artery dissection: revascularization versus conservative therapy". Circ Cardiovasc Interv. 7 (6): 777–86. doi:10.1161/CIRCINTERVENTIONS.114.001659. PMID 25406203.

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+{{Familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | | | | | | | A01 | A01=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">'''Spontaneous Coronary Artery Dissection (SCAD)'''</div>}}
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+{{Familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | B01 | | | | | | | | | | B02 | B01= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">'''Stable,no high-risk feature'''</div>|B02= <div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;"> '''High-risk feature present'''</div>}}
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-{{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px background: #000000;| | | |!| | | | | | | C01 | | | | | | C02 | | C03 | | C04 | C01=<div style="text-align: center; background: #000000; font-weight: bold; padding: 10px;">Left main dissection</div>|C02=<div style="text-align: center; background: #000000; font-weight: bold; padding: 10px;">Ongoing/recurrent ischemia</div>|C03=<div style="text-align: center; background: #000000; font-weight: bold; padding: 10px;">Ventricular tachycardia or fibrillation</div>|C04=<div style="text-align: center; background: #000000; font-weight: bold; padding: 15px;">Cardiogenic shock</div>}}
+{{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | |!| | | | | | | C01 | | | | | | C02 | | C03 | | C04 | C01=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">Left main dissection</div>|C02=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">Ongoing/recurrent ischemia</div>|C03=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">Ventricular tachycardia or fibrillation</div>|C04=<div style="text-align: center; background: #FFF0F5; font-weight: bold; padding: 10px;">Cardiogenic shock</div>}}
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 {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | D01 | | D02 | D01=No | D02=Yes }}
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Spontaneous coronary artery dissection diagnostic approach: Difference between revisions

Revision as of 23:49, 1 December 2017

Overview

Diagnostic Approach

Management Algorithm for Spontaneous Coronary Artery Dissection [1]

References

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Management Algorithm for Spontaneous Coronary Artery Dissection ^[1]