Spontaneous coronary artery dissection historical perspective

Spontaneous Coronary Artery Dissection Microchapters
Home
Overview
Historical Perspective
Classification
Pathophysiology
Causes
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
Angiography
CT
MRI
Echocardiography
Other Imaging Findings
Other Diagnostic Studies
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

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A.; Arzu Kalayci, M.D. [2]

Synonyms and keywords: SCAD

Overview

The first case of spontaneous coronary artery dissection was described by Pretty in 1931. In the post-morterm examination, heart muscle and valve appeared normal, and there was extensive hemorrhage between aorta and pulmonary artery secondary to coronary artery rupture presumably during the sudden and violent retching attack.

Historical Perspective

• Spontaneous coronary artery dissection (SCAD) was first described by Pretty in 1931 in which a 42-year-old woman presented with nausea and chest pain died unexpectedly due to rupture of a dissecting atheromatous aneurysm in the right coronary artery following repetitive retching and vomiting.
• In the post-morterm examination, heart muscle and valve appeared normal, and there was extensive hemorrhage between aorta and pulmonary artery secondary to coronary artery rupture presumably during the sudden and violent retching attack.
• Since then, more than 1,500 cases of SCAD have been reported in the English literature.