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spontaneous coronary artery dissection

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https://www.readbyqxmd.com/read/28210745/spontaneous-coronary-artery-dissection
#1
Alexander Dashwood, Selvanayagam Niranjan, Saheb Al-Daher, Jerome Goldstein
No abstract text is available yet for this article.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28197295/spontaneous-coronary-artery-dissection-the-phantom-menace
#2
Nikolaos Spinthakis, Nada Abdulkareem, Mohamed Farag, Diana A Gorog
We present a case of a 66-year-old lady with chest pain, without dynamic 12-lead electrocardiographic (ECG) changes and normal serial troponin. Coronary angiography revealed a linear filing defect in the first obtuse marginal branch of the circumflex artery indicating coronary artery dissection, with superadded thrombus. She was managed medically with dual antiplatelet therapy and has responded well. Spontaneous coronary artery dissection (SCAD) is a rare cause of cardiac chest pain, which can be missed without coronary angiography...
December 2016: Cardiology Research
https://www.readbyqxmd.com/read/28185383/spontaneous-coronary-artery-dissection-and-takotsubo-syndrome-the-chicken-or-the-egg-causality-dilemma
#3
Shams Y-Hassan, Raquel Themudo, Eva Maret
Acute coronary syndrome (ACS) including spontaneous coronary artery dissection (SCAD) has been reported to trigger its own clinical twin takotsubo syndrome (TS). The pathogenetic association between SCAD and TS remains to be elucidated. The two diseases afflict predominantly women and both conditions may be triggered by an emotional stress factor and an unusual extreme physical exercise. Herein, we describe a case of 54-year-old woman presenting with ACS caused by an obtuso-marginal SCAD. Concurrently, the patient had typical clinical features and course of mid-apical pattern of TS...
February 10, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28168688/repeat-coronary-artery-dissection-in-pregnancy-a-case-report-and-review-of-the-literature
#4
Casey P Bitting, Ross E Zumwalt
Non-atherosclerotic spontaneous coronary artery dissection (NA-SCAD) is a rare cause of morbidity and mortality with a propensity for young, healthy, and often peripartum women. NA-SCAD etiology is poorly understood, with possible hormonal and hereditary mechanisms. Current treatment strategies range from conservative management (often showing resolution on angiographic follow-up) to invasive angiographic procedures. Rarely, NA-SCAD has recurred in another coronary artery, ranging hours to years later. We report NA-SCAD of the right coronary artery (RCA) in a 30-year old, 3-month postpartum female with an additional autopsy finding of remote myocardial infarction (MI) in the left anterior descending (LAD) coronary artery territory...
February 7, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28161260/optical-coherence-tomography-guided-full-plastic-jacket-in-spontaneous-coronary-artery-dissection
#5
Ana Rita Ramalho, João Silva Marques, Manuel Oliveira Santos, Vitor Matos
No abstract text is available yet for this article.
January 25, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28149642/focusing-on-spontaneous-coronary-artery-dissection-actuality-and-future-perspectives
#6
COMMENT
Dario Buccheri, Giulia Zambelli
No abstract text is available yet for this article.
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28139136/spontaneous-coronary-artery-dissection-challenges-of-coronary-computed-tomography-angiography
#7
Mackram F Eleid, Marysia S Tweet, Phillip M Young, Eric Williamson, Sharonne N Hayes, Rajiv Gulati
BACKGROUND: There is limited understanding of the role of cardiac computed tomography angiography (CCTA) for assessment of patients with spontaneous coronary artery dissection (SCAD). METHODS: In this report we describe the diagnostic utility of CCTA in three young women presenting with signs and symptoms of myocardial ischemia who were eventually diagnosed with SCAD. RESULTS: None of the women had traditional atherosclerotic risk factors...
January 1, 2017: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/28116866/angiographic-and-interventional-management-of-spontaneous-coronary-artery-dissections-when-less-is-more-or-when-better-flow-is-the-enemy-of-good-flow
#8
EDITORIAL
Malissa J Wood, Douglas E Drachman
Conservative management of SCAD in clinically stable patients with non-flow limiting lesions in major arteries is associated with favorable outcomes A careful, methodical approach to pursuing PCI in patients with SCAD is warranted Peripartum patients with SCAD appear to be at higher risk for technical complications; interventions in these patients should be performed by highly experienced operators.
January 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28108456/multifaceted-presentation-of-recurrent-spontaneous-coronary-artery-dissection-angiography-and-optical-coherence-tomography-findings
#9
Marcos Garcia-Guimaraes, Teresa Bastante, Javier Cuesta, Fernando Rivero, Gonzalo Navarrete, Teresa Alvarado, Julián Cuesta, Amparo Benedicto, Fernando Alfonso
No abstract text is available yet for this article.
February 2017: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28031675/spontaneous-resolution-of-catheter-induced-iatrogenic-vein-graft-dissection-first-case-report-and-review-of-literature
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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