Spontaneous coronary artery dissection: an overview

Authors

Rasha Kaddoura, Pharmacy Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
Fathima Aaysha Cader, Department of Cardiology, Department of Cardiology, Kettering General Hospital, Kettering, Northants, NN16 8UZ, England.
Ashraf Ahmed, Department of Internal Medicine, Bridgeport Hospital, Yale New Haven Health, Bridgeport, Connecticut 06610, United States.
Mirvat Alasnag, Cardiac Center, King Fahd Armed Forces Hospital , Jeddah 21159, Saudi Arabia.

Document Type

Article

Publication Title

Postgraduate medical journal

Abstract

The prevalence of spontaneous coronary artery dissection (SCAD) has increased over the last decades in young adults presenting with acute coronary syndrome. Although the diagnostic tools, including intracoronary imaging, have permitted a more accurate diagnosis of SCAD, the prognosis and overall outcomes remain dismal. Furthermore, the disproportionate sex distribution affecting more women and the underdiagnosis in many parts of the world render this pathology a persistent clinical challenge, particularly since the management remains largely supportive with a limited and controversial role for percutaneous or surgical interventions. The purpose of this review is to summarize the available literature on SCAD and to provide insights into the gaps in knowledge and areas requiring further investigation.

First Page

1226

Last Page

1236

DOI

10.1093/postmj/qgad086

Publication Date

11-20-2023

Recommended Citation

Kaddoura, Rasha; Cader, Fathima Aaysha; Ahmed, Ashraf; and Alasnag, Mirvat, "Spontaneous coronary artery dissection: an overview" (2023). All Research. 20.
https://scholar.bridgeporthospital.org/all_research/20

Identifier

37773985 (pubmed); 10.1093/postmj/qgad086 (doi); 7285707 (pii)