Spontaneous Coronary Artery Dissection

  • Marysia S. Tweet
  • Rajiv Gulati
  • Sharonne N. Hayes
Management of Acute Coronary Syndromes (AS Jaffe, Section Editor)

DOI: 10.1007/s11886-016-0737-6

Cite this article as:
Tweet, M.S., Gulati, R. & Hayes, S.N. Curr Cardiol Rep (2016) 18: 60. doi:10.1007/s11886-016-0737-6
Part of the following topical collections:
  1. Topical Collection on Management of Acute Coronary Syndromes

Abstract

Spontaneous coronary artery dissection is an important etiology of nonatherosclerotic acute coronary syndrome, myocardial infarction, and sudden death. Innovations in the catheterization laboratory including optical coherence tomography and intravascular ultrasound have enhanced the ability to visualize intimal disruption and intramural hematoma associated with SCAD. Formerly considered “rare,” these technological advances and heightened awareness suggest that SCAD is more prevalent than prior estimates. SCAD is associated with female sex, young age, extreme emotional stress, or extreme exertion, pregnancy, and fibromuscular dysplasia. The clinical characteristics and management strategies of SCAD patients are different than for atherosclerotic heart disease and deserve specific consideration. This review will highlight recent discoveries about SCAD as well as describe current efforts to elucidate remaining gaps in knowledge.

Keywords

Spontaneous coronary artery dissection Myocardial infarction Acute coronary syndrome Women Fibromuscular dysplasia Pregnancy 

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Marysia S. Tweet
    • 1
  • Rajiv Gulati
    • 1
  • Sharonne N. Hayes
    • 1
  1. 1.Department of Internal Medicine, Division of Cardiovascular DiseasesMayo ClinicRochesterUSA

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