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spontaneous coronary artery dissection

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https://www.readbyqxmd.com/read/29778727/importance-of-close-surveillance-of-patients-with-conservatively-managed-spontaneous-coronary-artery-dissection
#1
Giorgio Quadri, Enrico Cerrato, Javier Escaned, Cristina Rolfo, Francesco Tomassini, Fabio Ferrari, Fabio Mariani, Ferdinando Varbella
No abstract text is available yet for this article.
May 11, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29750179/evolving-management-and-improving-outcomes-of-pregnancy-associated-spontaneous-coronary-artery-dissection-p-scad-a-systematic-review
#2
Elizabeth D Paratz, Chien Kao, Andrew I MacIsaac, Jithendra Somaratne, Robert Whitbourn
Background: Pregnancy-associated spontaneous coronary artery dissection (P-SCAD) is defined as SCAD occurring during pregnancy or within 3 months post-partum. Earlier systematic reviews have suggested a high maternal and foetal mortality rate. We undertook a structured systematic review of P-SCAD demographics, management and maternal and foetal outcomes. Methods: Case study identification was conducted according to PRISMA guidelines, with screening of all published P-SCAD cases not meeting pre-defined exclusion criteria...
March 2018: IJC Heart & Vasculature
https://www.readbyqxmd.com/read/29707593/spontaneous-coronary-artery-dissection-a-case-series-of-9-patients-with-literature-review
#3
Ali Raza Ghani, Faisal Inayat, Nouman Safdar Ali, Reema Anjum, Michael Viray, Arsalan Talib Hashmi, Iqra Riaz, Bruce D Klugherz, Hafeez Ul Hassan Virk
Spontaneous coronary artery dissection is an increasingly recognized nonatherosclerotic cause of acute coronary syndrome. Reports regarding the prognosis and natural history of this disease are limited. In addition to the diagnostic difficulty, this condition poses a significant therapeutic challenge due to the lack of specific management guidelines. We present here a case series of 9 patients with spontaneous coronary artery dissection. Additionally, this article reviews the incidence, clinical characteristics, risk factors, diagnostic modalities, therapeutic approaches, and patterns of recurrence in patients with spontaneous coronary artery dissection...
January 2018: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/29706822/high-intensity-sport-specific-cardiac-rehabilitation-training-of-a-22-year-old-competitive-cyclist-after-spontaneous-coronary-artery-dissection
#4
Nicholas Weber, Adam Weber, Pasquale Carbone, Anne Lawrence, Tim Bilbrey, Jeffrey M Schussler, Jenny Adams
A 22-year-old man with spontaneous coronary artery dissection wanted to assess the feasibility of returning to competitive cycling. He was referred to the cardiac rehabilitation (CR) program at Baylor Hamilton Heart and Vascular Hospital where staff designed a high-intensity, sport-specific training program that simulated the movements and forces associated with his goal activity. The program was symptom limited and enabled the patient to train earlier and at a higher intensity than is typically allowed in conventional CR programs...
April 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29691183/intravascular-imaging-for-cardiac-arrest-with-normal-coronary-arteriography
#5
Tawfiq Choudhury, Amir Solomonica, Rodrigo Bagur, Shahar Lavi
Spontaneous coronary artery dissection (SCAD) is an under-recognised presentation of acute coronary syndrome. A high index of suspicion is essential. If diagnostic doubt is high, intracoronary imaging, performed carefully, can be useful, although it can result in worsening of the clinical condition. The current report exemplifies the complexity of diagnosis and management of SCAD in a patient with out-of-hospital cardiac arrest and non-diagnostic angiography.
April 14, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29686789/a-case-of-spontaneous-coronary-artery-dissection-presenting-with-acute-anterior-wall-myocardial-infarction-in-a-young-adult-male-an-increasingly-recognized-rare-disease
#6
Mohamed Taha, Htun Latt, Jaafar Al-Khafaji, Mohamed Ali, Richard Seher
Background : Spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction and sudden death. Although some correlations have been noted in relation to aetiology, no direct causes have been identified in a large number of patients. Most of the patients are women in peripartum period or of childbearing age, with few if any risk factors for coronary heart disease. In men, however, risk factors for atherosclerosis are more prevalent in cases of SCAD Case report : We report a case of a 43-years-old healthy male, with no known risk factors, who presented with ischemic chest pain and elevated troponin levels...
2018: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29680214/histopathology-of-coronary-fibromuscular-dysplasia-causing-spontaneous-coronary-artery-dissection
#7
Nathaniel Moulson, James Kelly, M Bilal Iqbal, Jacqueline Saw
No abstract text is available yet for this article.
April 12, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29661711/diagnosing-spontaneous-coronary-artery-dissection-in-women-a-call-for-early-coronary-angiography
#8
EDITORIAL
Jane A Leopold
No abstract text is available yet for this article.
March 14, 2018: Trends in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29660360/spontaneous-coronary-artery-dissection-in-a-woman-surgical-treatment-and-angiographic-follow-up
#9
Dionysios Pavlopoulos, Michalis Hamilos, Paris Kalogerakos, Emmanouil Kampitakis, Pantelis Tsipas, John Kokotsakis, George Lazopoulos
Spontaneous coronary artery dissection constitutes a rare entity which affects mostly women especially below the age of forty. Treatment of choice is a matter of discussion. It is suggested by many authors that therapeutic strategy should be individualized based to each patient's clinical and angiographic manifestations. We present the case of a young woman who underwent surgical revascularization for dissection of Left Main Stem by using both Internal Thoracic Arteries. Angiographic follow up revealed resolution of dissection, obstruction of Right Internal Thoracic Artery graft and reverse flow in Left Internal Thoracic Artery graft...
April 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29650771/genetics-of-spontaneous-coronary-artery-dissection-gains-new-momentum
#10
EDITORIAL
Caspar Grond-Ginsbach, Stefan T Engelter
No abstract text is available yet for this article.
April 2018: Circulation. Genomic and precision medicine
https://www.readbyqxmd.com/read/29650765/prospective-cardiovascular-genetics-evaluation-in-spontaneous-coronary-artery-dissection
#11
M Ihsan Kaadan, Carolyn MacDonald, Francesca Ponzini, Jessica Duran, Kelsey Newell, Linda Pitler, Angela Lin, Ido Weinberg, Malissa J Wood, Mark E Lindsay
BACKGROUND: Previous studies describing genetics evaluation in spontaneous coronary artery dissection (SCAD) have been retrospective in nature or presented as single case reports. As part of a dedicated clinical program, we evaluated patients in cardiovascular genetics clinic to determine the role of genetically triggered vascular disease and genetic testing in SCAD. METHODS AND RESULTS: Patient data were entered prospectively into the Massachusetts General Hospital SCAD registry database from July 2013 to September 2017...
April 2018: Circulation. Genomic and precision medicine
https://www.readbyqxmd.com/read/29571427/myocardial-infarction-with-no-obstructive-coronary-artery-disease-angiographic-and-clinical-insights-in-patients-with-premature-presentation
#12
Valeria Raparelli, Malik Elharram, Avi Shimony, Mark J Eisenberg, Asim N Cheema, Louise Pilote
BACKGROUND: Premature myocardial infarction (MI) is an increasingly prevalent cause of morbidity and mortality worldwide. A subset of patients, predominantly young women, present with MI with no obstructive coronary artery disease (MINOCA), a nomenclature gaining recognition. However, few data exist on presentation and prognosis according to the severity of coronary artery disease (CAD). METHODS: We studied patients with premature (younger than 55 years of age) acute MI enrolled in a large cohort in 24 centres across Canada...
April 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29563379/rapid-healing-of-a-spontaneous-coronary-artery-dissection-detected-by-computed-tomography-angiography
#13
Koyu Sakai, Yohei Kobayashi, Shinichi Shirai, Kenji Ando
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome and little is known about characteristics, treatment, and follow-up of patients with SCAD. Computed tomography angiography (CTA) plays an important role in the diagnosis and management of SCAD. Herein, we describe a case of a patient with SCAD who underwent successful conservative management, and in whom CTA was able to detect rapid healing of the dissection, 4.5 hours post-dissection.
March 20, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29559611/catheter-induced-aortocoronary-dissection-during-percutaneous-coronary-intervention-successful-aortoostial-stenting
#14
Ahmet Gürdal, Süleyman Sezai Yıldız, Kadriye Kılıçkesmez
Iatrogenic acute dissection of the ascending aorta is a serious but rare complication of cardiac catheterization and percutaneous coronary intervention (PCI). Although treatment of ascending aortic dissection may require surgical repair, stenting at the origin of the dissection area may be sufficient in aortocoronary dissection (AD) following PCI. Described is the case of a 64-year-old female patient who was treated with PCI for a critical lesion of the right coronary artery (RCA). Immediate stenting at the source of the dissection was sufficient to repair the RCA lesions and successfully seal the site of retrograde propagation of the dissection...
January 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/29549452/spontaneous-coronary-artery-dissection-diagnosis-and-management
#15
REVIEW
Ilhwan Yeo, Dmitriy N Feldman, Luke K Kim
PURPOSE OF REVIEW: Spontaneous coronary artery dissection (SCAD) is a non-iatrogenic and non-traumatic separation of the coronary arterial wall. While SCAD represents an important cause of myocardial infarction, optimal diagnostic and therapeutic options remain challenging. We sought to review recent studies and provide an update on diagnosis and management of SCAD. RECENT FINDINGS: Coronary angiography is the first-line diagnostic modality for SCAD, with three angiographic features commonly observed in SCAD: type 1 (pathognomonic angiographic appearance with contrast staining of the arterial wall), type 2 (long coronary stenosis), and type 3 (focal tubular stenosis)...
March 17, 2018: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29502960/spontaneous-coronary-artery-dissection-and-takotsubo-syndrome-an-often-overlooked-association-review
#16
REVIEW
Shams Y-Hassan
Spontaneous coronary artery dissection (SCAD) and takotsubo syndrome (TS) are two cardiovascular syndromes with predilection for women. Both conditions may be preceded by an emotional stress or, for the affected individual, an unusual severe physical exercise. "Restitution ad integrum" occurs in most cases suffering from SCAD or TS with complete angiographic resolution of the dissected vessel and left ventricular dysfunction respectively. Recently, many cases, which were initially diagnosed as TS because of typical left ventricular ballooning pattern showed to have SCAD, have been reported; these cases were deemed to be "SCAD misdiagnosed as TS"...
February 8, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29501270/the-mystery-and-enigma-of-spontaneous-coronary-artery-dissection
#17
EDITORIAL
Robert M Graham, Lucy McGrath-Cadell, David W M Muller, Cameron J Holloway
No abstract text is available yet for this article.
April 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29493808/spontaneous-coronary-artery-dissection-in-women-what-is-known-and-what-is-yet-to-be-understood
#18
REVIEW
Marysia S Tweet, Susan N Kok, Sharonne N Hayes
Spontaneous coronary artery dissection is a nonatherosclerotic etiology of acute coronary syndrome, including sudden cardiac death, which frequently affects younger women. This review highlights contemporary knowledge regarding spontaneous coronary artery dissection demographics, prevalence, diagnosis, presentation, and associated conditions and risks, inpatient treatment, major adverse clinical events, and outpatient management decisions.
February 2018: Clinical Cardiology
https://www.readbyqxmd.com/read/29481627/european-society-of-cardiology-acute-cardiovascular-care-association-scad-study-group-a-position-paper-on-spontaneous-coronary-artery-dissection
#19
David Adlam, Fernando Alfonso, Angela Maas, Christiaan Vrints
No abstract text is available yet for this article.
February 22, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29479014/spontaneous-recanalization-of-the-obstructed-right-coronary-artery-caused-by-blunt-chest-trauma
#20
Yumiko Haraguchi, Kenichi Sakakura, Kei Yamamoto, Yousuke Taniguchi, Ikue Nakashima, Hiroshi Wada, Masamitsu Sanui, Shin-Ichi Momomura, Hideo Fujita
Blunt chest trauma can cause a wide variety of injuries including acute myocardial infarction (AMI). Although AMI due to coronary artery dissection caused by blunt chest trauma is very rare, it is associated with high morbidity and mortality. In the vast majority of patients with AMI, primary percutaneous coronary interventions (PCI) are performed to recanalize obstructed arteries, but PCI carries a substantial risk of hemorrhagic complications in the acute phase of trauma. We report a case of AMI due to right coronary artery (RCA) dissection caused by blunt chest trauma...
March 30, 2018: International Heart Journal
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