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The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection
Primary or spontaneous coronary artery dissection (SCAD) is an unusual but increasingly recognized cause of acute myocardial ischemia and sudden cardiac death. Typically, SCAD presents in younger patients without conventional risk factors for coronary artery disease. It occurs more commonly in women...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429898/ https://www.ncbi.nlm.nih.gov/pubmed/18513437 http://dx.doi.org/10.1186/1476-7120-6-24 |
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author | Arnold, Jayanth R West, Nick EJ van Gaal, William J Karamitsos, Theodoros D Banning, Adrian P |
author_facet | Arnold, Jayanth R West, Nick EJ van Gaal, William J Karamitsos, Theodoros D Banning, Adrian P |
author_sort | Arnold, Jayanth R |
collection | PubMed |
description | Primary or spontaneous coronary artery dissection (SCAD) is an unusual but increasingly recognized cause of acute myocardial ischemia and sudden cardiac death. Typically, SCAD presents in younger patients without conventional risk factors for coronary artery disease. It occurs more commonly in women than in men, and frequently during pregnancy or the postpartum period. Its pathophysiology is poorly understood, and there is considerable controversy regarding the optimal management of patients with SCAD-related myocardial ischemia. Therapeutic approaches include conservative medical therapy, coronary artery bypass graft surgery and percutaneous coronary intervention (PCI). We present four cases of SCAD to illustrate specific aspects of the presentation and management of this condition, with particular reference to the importance of intravascular ultrasound (IVUS) to aid diagnosis and guide subsequent PCI. |
format | Text |
id | pubmed-2429898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-24298982008-06-14 The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection Arnold, Jayanth R West, Nick EJ van Gaal, William J Karamitsos, Theodoros D Banning, Adrian P Cardiovasc Ultrasound Case Report Primary or spontaneous coronary artery dissection (SCAD) is an unusual but increasingly recognized cause of acute myocardial ischemia and sudden cardiac death. Typically, SCAD presents in younger patients without conventional risk factors for coronary artery disease. It occurs more commonly in women than in men, and frequently during pregnancy or the postpartum period. Its pathophysiology is poorly understood, and there is considerable controversy regarding the optimal management of patients with SCAD-related myocardial ischemia. Therapeutic approaches include conservative medical therapy, coronary artery bypass graft surgery and percutaneous coronary intervention (PCI). We present four cases of SCAD to illustrate specific aspects of the presentation and management of this condition, with particular reference to the importance of intravascular ultrasound (IVUS) to aid diagnosis and guide subsequent PCI. BioMed Central 2008-05-31 /pmc/articles/PMC2429898/ /pubmed/18513437 http://dx.doi.org/10.1186/1476-7120-6-24 Text en Copyright © 2008 Arnold et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Arnold, Jayanth R West, Nick EJ van Gaal, William J Karamitsos, Theodoros D Banning, Adrian P The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection |
title | The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection |
title_full | The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection |
title_fullStr | The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection |
title_full_unstemmed | The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection |
title_short | The role of Intravascular Ultrasound in the management of spontaneous coronary artery dissection |
title_sort | role of intravascular ultrasound in the management of spontaneous coronary artery dissection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429898/ https://www.ncbi.nlm.nih.gov/pubmed/18513437 http://dx.doi.org/10.1186/1476-7120-6-24 |
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