scholarly journals CRT-100 Management and Long-term Prognosis of Spontaneous Coronary Artery Dissection: Results From A Multicentre Observational Study

2015 ◽  
Vol 8 (2) ◽  
pp. S8
Author(s):  
Corrado Lettieri ◽  
Battistina Castiglioni ◽  
Dennis Zavalloni ◽  
Giuseppe Musumeci ◽  
Federica Ettori ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Observational Study ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Long Term Prognosis

Management and Long-Term Prognosis of Spontaneous Coronary Artery Dissection

2015 ◽  
Vol 116 (1) ◽  
pp. 66-73 ◽  
Author(s):  
Corrado Lettieri ◽  
Dennis Zavalloni ◽  
Roberta Rossini ◽  
Nuccia Morici ◽  
Federica Ettori ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Long Term Prognosis

scholarly journals Clinical characteristics and long-term prognosis of spontaneous coronary artery dissection: A single-center Chinese experience

2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Xintian Liu ◽  
Chengyi Xu ◽  
Chengwei Liu ◽  
Xi Su
Keyword(s):  
Coronary Artery ◽  
Clinical Characteristics ◽  
Conservative Therapy ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Single Center ◽  
Coronary Artery Dissection ◽  
Coronary Syndrome ◽  
Long Term Prognosis

Background and Objective: Spontaneous coronary artery dissection (SCD) remains a rare and important cause of coronary artery disease (CAD). The purpose of this study was to describe the clinical and angiographic features in SCD and to evaluate the treatment and long-term prognosis of this condition in China. Methods: This retrospective cohort study included 118 Chinese patients with SCD confirmed by coronary angiography. Clinical and angiographic features, treatment modalities and outcomes of SCD were estimated. Results: The overall prevalence of SCD was 0.15%. Age was 57 ± 10 years; 86% patients were men; 75% presented with acute coronary syndrome (ACS); 72% had concomitant atherosclerotic CAD. SCD often affected right coronary artery (RCA) and caused a short dissection (< 20mm). A conservative therapy was used in 28% of patients and revascularization in 72% (percutaneous coronary intervention [PCI] 57%; coronary artery bypass grafting [CABG] 15%). Only one patient died during hospitalization due to multiple organ failure after CABG. During a median follow-up of 43 months (range, 1 - 158 months), 32 patients had a new-onset ACS, 9 received revascularization (7 PCI and 2 CABG), and 8 died. The Kaplan-Meier estimated 12-year rates of freedom from cardiac death and ACS were both higher in revascularization versus conservative therapy (78% versus 57%; P = 0.023; 48% versus 25%, P = 0.014). No significant difference was found in freedom from revascularization between the two therapies. Conclusions: In China, SCD was usually associated with atherosclerosis and predominantly affected male population. SCD often affected RCA and caused a short dissection. In-hospital mortality rate was low regardless of therapeutic strategy. However, a significantly better long-term prognosis was observed in the revascularization compared with conservative therapy. How to cite this:Liu X, Xu C, Liu C, Su X. Clinical characteristics and long-term prognosis of spontaneous coronary artery dissection: A single-center Chinese experience. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.321 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Spontaneous coronary artery dissection in association with cabergoline therapy

2021 ◽  
Vol 14 (2) ◽  
pp. e240022
Author(s):  
Zia Saleh ◽  
Susan Koshy ◽  
Vaninder Sidhu ◽  
Andrea Opgenorth ◽  
Janek Senaratne
Keyword(s):  
Risk Factors ◽  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Cardiac Risk ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Coronary Syndrome ◽  
Ergot Derivative

Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognised cause of acute coronary syndrome. While numerous risk factors are associated with SCAD, one potential cause is coronary artery vasospasm. The use of cabergoline—an ergot derivative and dopamine agonist that may induce vasospasm—has been associated with SCAD in one other case report worldwide. Here, we describe SCAD in a 37-year-old woman on long-term cabergoline therapy with no other cardiac risk factors. Cabergoline-induced SCAD should be considered in patients presenting with an acute coronary syndrome who are treated with this medication.

scholarly journals Spontaneous Coronary Artery Dissection

2015 ◽  
Vol 10 (3) ◽  
pp. 142
Author(s):  
Jacqueline Saw ◽  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Artery Wall ◽  
Coronary Artery Dissection ◽  
Intracoronary Imaging ◽  
Younger Women

Spontaneous coronary artery dissection (SCAD) is a non-traumatic and non-iatrogenic separation of the coronary artery wall that is now recognised as an important cause of myocardial infarction, especially in younger women. SCAD can be elusive on coronary angiography and clinician familiarity with non-pathognomonic angiographic SCAD variants and the use of intracoronary imaging will improve diagnosis. Conservative management and long-term cardiovascular follow-up are typically recommended.

Long-Term Outcome of Patients from the Auckland Region with Spontaneous Coronary Artery Dissection

2018 ◽  
Vol 27 ◽  
pp. S1
Author(s):  
Ammar Alsamarrai ◽  
Mark Webster ◽  
Guy Armstrong ◽  
Wil Harrison ◽  
Jim Stewart ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Auckland Region

scholarly journals LONG-TERM OUTCOMES AFTER EMERGENCY REVASCULARIZATION FOR SPONTANEOUS CORONARY ARTERY DISSECTION

2020 ◽  
Vol 75 (11) ◽  
pp. 3
Author(s):  
Christina Thaler ◽  
Meagan Nowariak ◽  
Christian Schmidt ◽  
Elizabeth Grey ◽  
Timothy D. Henry ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Long Term Outcomes ◽  
Coronary Artery Dissection ◽  
Emergency Revascularization
Sign in / Sign up

Export Citation Format

Share Document