Spontaneous Coronary Artery Dissection
作者： Jacqueline Saw , Eve Aymong , Tara Sedlak , Christopher E. Buller , Andrew Starovoytov
DOI: 10.1161/CIRCINTERVENTIONS.114.001760
关键词: Revascularization 、 Spontaneous coronary artery dissection (SCAD) 、 Fibromuscular dysplasia 、 Angiography 、 Internal medicine 、 Myocardial infarction 、 Radiology 、 Medicine 、 Stenosis 、 Cardiology 、 Lumen (anatomy) 、 Scad
摘要: Background—Nonatherosclerotic spontaneous coronary artery dissection (NA-SCAD) is underdiagnosed and an important cause of myocardial infarction in young women. The frequency predisposing precipitating conditions cardiovascular outcomes remains poorly described. Methods Results—Patients with NA-SCAD prospectively evaluated (retrospectively or identified) at Vancouver General Hospital were included. Angiographic SCAD diagnosis was confirmed by 2 experienced interventional cardiologists categorized as type 1 (multiple lumen), (diffuse stenosis), 3 (mimic atherosclerosis). Fibromuscular dysplasia screening renal, iliac, cerebrovascular arteries performed angiography computed tomographic angiography/MR angiography. Baseline, conditions, angiographic, revascularization, in-hospital, long-term events recorded. We 168 patients NA-SCAD. Average age 52.1±9.2 years, 92.3% women (62...
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