Spontaneous coronary artery dissection treatment approach: Difference between revisions
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<BR><span style="font-size: 1.5em; font-weight: bold;">Algorithm for management of acute spontaneous | <BR><span style="font-size: 1.5em; font-weight: bold;">Algorithm for management of acute spontaneous coronary artery dissection.</span><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|year=2018|pages=CIR.0000000000000564|issn=0009-7322|doi=10.1161/CIR.0000000000000564}}</ref><BR><BR> | ||
{{Familytree/start}} | {{Familytree/start}} | ||
{{Familytree | | | | | | | | | A01 | | | | | | | | |A01='''Management of Acute Spontaneous Coronary Artery Dissection'''}} | {{Familytree | | | | | | | | | A01 | | | | | | | | |A01='''Management of Acute Spontaneous Coronary Artery Dissection'''}} | ||
{{Familytree | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | |}} | {{Familytree | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | |}} | ||
{{Familytree | | | B01 | | | | B02 | | | | B03 | | |B01=''' | {{Familytree | | | B01 | | | | B02 | | | | B03 | | |B01='''Clinically stable without high-risk anatomy'''<BR>'''(i.e., left main or proximal 2-vessel coronary artery dissection)'''|B02='''Clinically stable <BR>with left main or severe proximal 2-vessel dissection'''|B03='''Active/ongoing ischemia <BR>or hemodynamic instability'''}} | ||
{{Familytree | | | |L|~|~|~|~|~|%|~|~|~|~|~|J| | | |}} | {{Familytree | | | |L|~|~|~|~|~|%|~|~|~|~|~|J| | | |}} | ||
{{Familytree | | | | | | | | | C01 | | | | | | | | |C01='''If diagnostic uncertainty, consider adjunctive diagnostic strategies:'''<BR><div style="text-align: left; padding: 5px;">❑ OCT/IVUS if feasible/safe<BR>❑ CT coronary angiography<BR>❑ CTA/MRA/angiographic imaging for extracoronary vasculopathy/FMD<BR>❑ Repeat coronary angiography at 6–8 weeks</div>}} | {{Familytree | | | | | | | | | C01 | | | | | | | | |C01='''If diagnostic uncertainty, consider adjunctive diagnostic strategies:'''<BR><div style="text-align: left; padding: 5px;">❑ OCT/IVUS if feasible/safe<BR>❑ CT coronary angiography<BR>❑ CTA/MRA/angiographic imaging for extracoronary vasculopathy/FMD<BR>❑ Repeat coronary angiography at 6–8 weeks</div>}} | ||
Revision as of 22:16, 26 February 2018
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Spontaneous Coronary Artery Dissection Microchapters |
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Differentiating Spontaneous coronary artery dissection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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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 coronary artery dissection.[1]
| Management of Acute Spontaneous Coronary Artery Dissection | |||||||||||||||||||||||||||||||||||||||
| Clinically stable without high-risk anatomy (i.e., left main or proximal 2-vessel coronary artery dissection) | Clinically stable with left main or severe proximal 2-vessel dissection | Active/ongoing ischemia or hemodynamic instability | |||||||||||||||||||||||||||||||||||||
| 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.