Spontaneous coronary artery dissection historical perspective

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Spontaneous Coronary Artery Dissection Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Spontaneous coronary artery dissection from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Approach

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Angiography

CT

MRI

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Treatment Approach

Medical Therapy

Percutaneous Coronary Intervention

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Type 1

Type 2A

Type 2B

Type 3

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A.

Synonyms and keywords: SCAD

Overview

The first case of spontaneous coronary artery dissection was described by Pretty in 1931.

Historical Perspective

Spontaneous coronary artery dissection (SCAD) was first described by Pretty in 1931, in which a 42-year-old woman presented with nausea and chest pain died unexpectedly due to rupture of a dissecting atheromatous aneurysm in the right coronary artery following repetitive retching and vomiting. In the post-morterm examination, heart muscle and valve appeared normal, and there was extensive hemorrhage between aorta and pulmonary artery secondary to coronary artery rupture presumably during the sudden and violent retching attack. Since then, more than 1,500 cases of SCAD have been reported in the English literature.

References