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spontaneous coronary artery dissection

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https://www.readbyqxmd.com/read/28031675/spontaneous-resolution-of-catheter-induced-iatrogenic-vein-graft-dissection-first-case-report-and-review-of-literature
#1
Prakash Suryanarayana, Shubha Kollampare, Mohammad Reza Movahed
An 86-year-old female patient with a history of bypass surgery was admitted for recurrent dyspnea and chest pain on exertion. She underwent coronary angiography showing high-grade saphenous vein graft stenosis supplying the right coronary. During an attempt to perform percutaneous intervention, saphenous vein graft to the right coronary artery was injured by the guide catheter resulting in dissection with thrombus formation but with normal distal blood flow. The procedure was abandoned since she had normal distal flow and also due to a fear of causing extension of the dissection with further manipulation...
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/27998616/spontaneous-coronary-artery-dissection-in-a-young-woman-with-polycystic-ovarian-syndrome
#2
Marco Mirra, Nertil Kola, Giacomo Mattiello, Carmine Morisco, Letizia Spinelli
Polycystic ovarian syndrome (PCOS) affects 4% to 12% of women in reproductive age, representing a clinical condition that could predispose to cardiovascular diseases. We report a case of a 34-year-old woman with PCOS, presenting with chest pain, onset two days before, and ST segment-elevation myocardial infarction. She was not pregnant or in a postpartum state. Subsequent cardiac angiography revealed spontaneous left anterior descending coronary artery dissections, managed by conservative approach. The patient was discharged in medical therapy after 5days...
December 16, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27988230/spontaneous-coronary-artery-dissection-still-a-lot-to-learn
#3
David Neves, Ângela Bento, Renato Fernandes, Lino Patrício, José Aguiar
Non-atherosclerotic spontaneous coronary artery dissection (SCAD) is an uncommon but probably underdetected pathological substrate for acute coronary syndrome. Clinical associations have been noted, like female gender and young age, but its pathophysiology is not yet fully understood. In this report we describe the case of a 50-year-old woman, without cardiovascular risk factors presenting with non-ST segment elevation myocardial infarction, in whom SCAD was diagnosed. Treatment was initially conservative but due to aggravation of the dissection she eventually underwent a complex percutaneous coronary intervention, requiring implantation of multiple stents, but with a good clinical outcome...
January 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/27986426/repeated-loss-of-consciousness-in-a-young-woman-a-suspicious-smad3-mutation-underlying-spontaneous-coronary-artery-dissection
#4
Míriam Garcia-Bermúdez, Abdel-Hakim Moustafa, Antonio Barrós-Membrilla, Helena Tizón-Marcos
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome and is often underdiagnosed. Intramural hematoma is the most frequent angiographic presentation and is a challenging diagnosis that may require intravascular imaging techniques to confirm it and guide treatment. It affects mostly young women without coronary risk factors and is usually associated with fibromuscular dysplasia. SCAD has an underlying disease in 80% of patients. A SMAD3 mutation has been linked to aneurysm-osteoarthritis syndrome and has been identified as a cause of familial thoracic aortic aneurysm and dissection...
September 24, 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27982275/spontaneous-coronary-artery-dissection-in-acute-coronary-syndrome-report-of-a-series-of-cases-with-17-patients
#5
Ana Rita Godinho, Mariana Vasconcelos, Vitor Araújo, Maria Júlia Maciel
No abstract text is available yet for this article.
November 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27973331/how-and-when-to-suspect-spontaneous-coronary-artery-dissection-novel-insights-from-a-single-center-series-on-prevalence-and-angiographic-appearance
#6
Pascal Motreff, Guilhem Malcles, Nicolas Combaret, Nicolas Barber-Chamoux, Sara Bouajila, Bruno Pereira, Aime Amonchot, Bernard Citron, Jean-René Lusson, Romain Eschalier, Geraud Souteyrand
AIMS: Spontaneous coronary artery dissection (SCAD) is an under-diagnosed entity of acute coronary syndrome (ACS); its prevalence remains unclear due to a challenging diagnosis, particularly in instances of intramural hematoma without intimal rupture. METHODS AND RESULTS: From 1999 to 2014, 55 SCAD (all women, mean age 50.1 years) were diagnosed. Regardless of age, 51 (92.7%) had ≤2 cardiovascular risk factors. Thirty-six were diagnosed prospectively during the latter period (2012-2014)...
December 15, 2016: EuroIntervention
https://www.readbyqxmd.com/read/27970267/tct-103-angiographic-healing-of-spontaneous-coronary-artery-dissection
#7
Roshan Prakash, Andrew Starovoytov, Eve Aymong, Jacqueline Saw
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27970264/tct-101-predictors-for-recurrent-dissection-after-spontaneous-coronary-artery-dissection
#8
Jacqueline Saw, Andrew Starovoytov, Yinshan Zhao, Defen Peng, Karin Humphries
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27969860/tct-48-medical-therapy-and-clinical-outcomes-with-spontaneous-coronary-artery-dissection
#9
Lim Kuan Eng, Andrew Starovoytov, Karin Humphries, G B John Mancini, Jacqueline Saw
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27965334/spontaneous-coronary-artery-dissection-case-report-and-review-of-the-literature
#10
David Wonnacott, Ross Berringer
No abstract text is available yet for this article.
December 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27960566/a-breakthrough-in-spontaneous-coronary-artery-dissection-pathogenesis-is-it-an-inherited-condition
#11
Siddak S Kanwar, Sharonne N Hayes, Timothy M Olson, Rajiv Gulati
No abstract text is available yet for this article.
January 2017: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/27960217/iatrogenic-catheter-induced-acute-aortic-dissection-type-a-after-coronary-angiography-a-retrospective-consecutive-case-series
#12
Katharina Huenges, Jan Dreyer, Bernd Panholzer, Christina Grothusen, Jochen Renner, Philipp Schäfer, Miriam Freundt, Felix Schoeneich, Jan Schöttler, Azizolah Rahimi-Barfeh, Jochen Cremer, Assad Haneya
Background Acute aortic dissection type A (AADA) is one of the most life-threatening situations and surgical demanding procedures even today. Usually AADA develops spontaneously, but it can be related also to interventional procedures. Methods We analyzed the data of 14 patients surgically treated in our institution with catheter-induced AADA (ciAADA) during coronary angiography between January 2004 and December 2014. Data were compared with overall AADA patients in this time period (n = 288). Results Nine of the 14 patients were female...
December 13, 2016: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/27928263/a-36-year-old-woman-with-coronary-artery-dissection-two-weeks-after-abortion
#13
Arsalan Salari, Mahboobe Gholipur, Maedeh Rezaeidanesh, Anoosh Barzigar, Shahram Rahmani, Mohadeseh Pursadeghi, Hannan Ebrahimi
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. We report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. Electrocardiography showed ST elevation in leads V2-V4 and ST depression in the inferior leads. Lab data were normal. Cardiac catheterization showed a suspicious thrombotic lesion at the proximal portion of the left anterior descending artery with a smooth contour consistent with distal haziness and dissection site...
April 13, 2016: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/27895071/stenting-of-spontaneous-coronary-artery-dissection-from-a-pathological-point-of-view
#14
Hiroyoshi Mori, Robert Kutys, Maria Romero, Renu Virmani, Aloke V Finn
No abstract text is available yet for this article.
December 2016: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27890339/spontaneous-coronary-artery-dissection-undissolved-using-cardiac-computed-tomography-response-and-a-question
#15
María Martín, Juan Calvo, José Rozado, Helena Cigarrán, Cecilia Corros, Pablo Flórez, Lucía Junquera, Vicente Barriales, César Morís
No abstract text is available yet for this article.
November 18, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27889328/multiple-spontaneous-coronary-artery-dissections-an-uncommon-cause-of-acute-coronary-syndrome-in-a-syrian-refugee
#16
Tina Zhu, Peggy DeJong, Amer M Johri
Spontaneous coronary artery dissection is an uncommon nonatherosclerotic cause of acute coronary syndrome. It usually occurs in young women and is often associated with fibromuscular dysplasia, connective tissue diseases, and pregnancy or postpartum states. We present a case of a Syrian woman with a history of grand multiparity and recent miscarriage who presented with non-ST-elevation myocardial infarction and was found to have multivessel spontaneous coronary artery dissection and severe left ventricular dysfunction...
August 24, 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27867640/-the-scaffolding-must-be-removed-once-the-house-is-built-spontaneous-coronary-artery-dissection-and-the-potential-of-bioresorbable-scaffolds
#17
COMMENT
Keyvan Karim Galougahi, Ori Ben-Yehuda, Akiko Maehara, Gary S Mintz, Gregg W Stone, Ziad A Ali
No abstract text is available yet for this article.
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27867618/bioresorbable-scaffolds-and-drug-eluting-balloons-for-the-management-of-spontaneous-coronary-artery-dissections
#18
EDITORIAL
Vasileios F Panoulas, Alfonso Ielasi
No abstract text is available yet for this article.
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27823678/-recent-insights-on-spontaneous-coronary-artery-dissection-scad-from-diagnosis-suspicion-to-long-term-outcomes
#19
G Malclès, G Souteyrand, P Motreff
Spontaneous coronary artery dissection (SCAD) is a poorly understood and under-diagnosed entity of acute coronary syndrome, affecting predominantly young women. Relatively large series have been published in the past five years highlighting this condition, once believed to be rare. Indeed, the pathophysiology, natural history, clinical presentation, patient profile, diagnostic modalities, management and outcomes of SCAD are becoming better understood. The aim of our review is to provide a brief "state of the art" of SCAD in 2016 to help the clinician in the management of this challenging condition...
December 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27814783/-coronary-disease-in-women-the-role-of-sexual-hormones
#20
E Vautrin, S Marlière, H Bouvaist, R Guerbaai, G Barone-Rochette
During their lives, women go through three different phases during which sex hormones play a fundamental role in contributing to specific cardiovascular and coronary risks. To evaluate this risk, we must take into account these various phases with their associated cardiovascular risk factors, and this during three key steps: contraception, pregnancy and menopause. Arterial risk linked to estrogen combined with progestin contraception, depends on the dosage of estrogen. The main cardiovascular risk factor responsible for increasing the risk of myocardial infarction is tobacco, especially after 35 years of age, contraindicating estrogen combined with progestin contraception at the benefit of progestin...
December 2016: Annales de Cardiologie et D'angéiologie
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