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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 |
Algorithm for the Angiographic Diagnosis and Confirmation of Spontaneous Coronary Artery Dissection[1]
Presence of features that raise a high clinical index of suspicion for SCAD? (click for details) ❑ Myocardial infarction in young women (especially age ≤50) ❑ Absence of traditional cardiovascular risk factors ❑ Little or no evidence of typical atherosclerotic lesions in coronary arteries ❑ History of fibromuscular dysplasia ❑ History of relevant connective tissue disorder or systemic inflammatory condition ❑ Ehlers-Danlos syndrome Type 4 ❑ Systemic lupus erythematosus | |||||||||||||||||||||||||||||||
Perform early coronary angiography | |||||||||||||||||||||||||||||||
Presence of type 1 SCAD lesion characteristics? (click for details) ❑ Pathognomonic appearance of contrast dye staining of arterial wall ❑ Multiple radiolucent lumens ❑ ±Dye hang-up or slow contrast clearing from the lumen | |||||||||||||||||||||||||||||||
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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.