Spontaneous coronary artery dissection treatment approach: Difference between revisions
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{{Familytree | | | | | | | | | A01 | | | | | | | | |A01='''Coronary | {{Familytree | | | | | | | | | A01 | | | | | | | | |A01='''Management of Acute Spontaneous Coronary Artery Dissection'''}} | ||
{{Familytree | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | |}} | {{Familytree | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | |}} | ||
{{Familytree | | | B01 | | | | B02 | | | | B03 | | |B01='''Type 1 SCAD'''<BR>(arterial wall stain, multiple lumens)|B02='''Type 2 SCAD'''<BR>(intramural hematoma, diffuse, smooth stenoses)|B03='''Type 3 SCAD'''<BR>(mimics atherosclerosis)}} | {{Familytree | | | B01 | | | | B02 | | | | B03 | | |B01='''Type 1 SCAD'''<BR>(arterial wall stain, multiple lumens)|B02='''Type 2 SCAD'''<BR>(intramural hematoma, diffuse, smooth stenoses)|B03='''Type 3 SCAD'''<BR>(mimics atherosclerosis)}} |
Revision as of 22:13, 26 February 2018
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: Nate Michalak, B.A.
Synonyms and keywords: SCAD
Overview
Algorithm for management of acute spontaneous coronary artery dissection: A Scientific Statement From the American Heart Association
Algorithm for management of acute spontaneous coro- nary artery dissection.[1]
Management of Acute Spontaneous Coronary Artery Dissection | |||||||||||||||||||||||||||||||||||||||
Type 1 SCAD (arterial wall stain, multiple lumens) | Type 2 SCAD (intramural hematoma, diffuse, smooth stenoses) | Type 3 SCAD (mimics atherosclerosis) | |||||||||||||||||||||||||||||||||||||
If diagnostic uncertainty, consider adjunctive diagnostic strategies: ❑ OCT/IVUS if feasible/safe ❑ CT coronary angiography ❑ CTA/MRA/angiographic imaging for extracoronary vasculopathy/FMD ❑ Repeat coronary angiography at 6–8 weeks | |||||||||||||||||||||||||||||||||||||||
Abbreviations:
CABG, coronary artery bypass grafting;
PCI, percutaneous coronary intervention;
Rx, management.
References
- ↑ 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: CIR.0000000000000564. doi:10.1161/CIR.0000000000000564. ISSN 0009-7322.