Spontaneous Coronary Artery Dissection: A Review of Pathogenesis, Presentations, Treatment, and Outcomes.

Authors:
Aasim Afzal
Aasim Afzal
Baylor University Medical Center at Dallas
Syed Sarmast
Syed Sarmast
Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital; and Texas A&M College of Medicine (Schussler); and the University of Texas at Austin (Weber)
James W Choi
James W Choi
Baylor Heart and Vascular Hospital
United States
Peter A McCullough
Peter A McCullough
United States
Jeffrey M Schussler
Jeffrey M Schussler
Baylor University Medical Center
United States

Rev Cardiovasc Med 2017 ;18(1):29-36

Baylor University Medical Center, Division of Cardiology, Dallas, TX; Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, TX; Texas A&M College of Medicine, Bryan, TX.

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndromes and sudden cardiac death. The epidemiology, pathogenesis, and optimal approaches to diagnosis and management are poorly understood. Additionally, SCAD as a syndrome is commonly under-recognized and its prognosis is not well studied. Guidelines on management of SCAD have not yet been established. We present three cases of SCAD that varied in their clinical presentation and describe the different management strategies utilized. This is followed by a review of the clinical features, epidemiology, prognosis, and potential treatment strategies for patients presenting with SCAD.
January 2017
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