Spontaneous coronary artery dissection differential diagnosis
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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: Arzu Kalayci, M.D. [2]
Synonyms and keywords: SCAD
Overview
Differential Diagnosis
Albeit an infrequent condition, spontaneous coronary artery dissection (SCAD) should be included in the differential diagnosis of acute coronary syndrome (ACS). Demographic and angiographic characteristics may be useful in differentiating SCAD from other causes of ACS.
Demographic characteristics that raise the index of suspicion for SCAD include:[1]
- Myocardial infarction in young women (age ≤50)
- Absence of traditional cardiovascular risk factors
- Little or no evidence of coronary atherosclerosis
- Peripartum state
- History of fibromuscular dysplasia
- History of connective tissue disorder or systemic inflammatory disorder:
- Marfan's syndrome
- Type 4 Ehlers-Danlos syndrome
- Loeys-Dietz syndrome
- Cystic medial necrosis
- Systemic lupus erythematosus
- Crohn's disease
- Ulcerative colitis
- Polyarteritis nodosa
- Sarcoidosis
- Churg-Strauss syndrome
- Wegener's granulomatosis
- Rheumatoid arthritis
- Giant cell arteritis
References
- ↑ Saw J (2014). "Coronary angiogram classification of spontaneous coronary artery dissection". Catheter Cardiovasc Interv. 84 (7): 1115–22. doi:10.1002/ccd.25293. PMID 24227590.