作者: Corrado Lettieri , Dennis Zavalloni , Roberta Rossini , Nuccia Morici , Federica Ettori
DOI: 10.1016/J.AMJCARD.2015.03.039
关键词:
摘要: The optimal management and short- long-term prognoses of spontaneous coronary artery dissection (SCAD) remain not well defined. aim this observational multicenter study was to assess clinical outcomes in patients with SCAD. In-hospital were assessed 134 documented SCAD, as the impact predictors a conservative rather than revascularization strategy treatment. mean age 52 ± 11, years 81% female. SCAD presented an acute syndromes 93% patients. A performed 58% 42%. On multivariate analysis, distal versus proximal or mid location (odds ratio 9.27) basal Thrombolysis In Myocardial Infarction (TIMI) flow grade 2 3 0 1 0.20) independent strategy. associated better in-hospital compared (rates major adverse cardiac events 3.8% 16.1%, respectively, p = 0.028); however, no significant differences observed outcomes. conclusion, large angiographic features significantly influenced treatment strategy, providing excellent prognosis.