Spontaneous coronary artery dissection treatment approach: Difference between revisions
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{{Familytree | | | | | | | | | A01 | | | | | | | | |A01='''Management of Acute Spontaneous Coronary Artery Dissection'''}} | {{Familytree | | | | | | | | | A01 | | | | | | | | |A01='''Management of Acute Spontaneous Coronary Artery Dissection'''}} | ||
{{Familytree | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | |}} | {{Familytree | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | |}} | ||
{{Familytree | | | B01 | | | | B02 | | | | B03 | | |B01='''Clinically stable without high-risk anatomy'''<BR>'''(i.e., left main or proximal 2-vessel | {{Familytree | | | B01 | | | | B02 | | | | B03 | | |B01='''Clinically stable without high-risk anatomy'''<BR>'''(i.e., left main or proximal 2-vessel dissection)'''|B02='''Clinically stable with high-risk anatomy'''<BR>'''(i.e., left main or proximal 2-vessel dissection)'''|B03='''Active/ongoing ischemia <BR>or hemodynamic instability'''}} | ||
{{Familytree | | | |!| | | | | |!| | | | | |!| | | |}} | {{Familytree | | | |!| | | | | |!| | | | | |!| | | |}} | ||
{{Familytree | | | C01 | | | | C02 | | | | C03 | | |C01=<div style="text-align: left; padding: 5px;">❑ Conservative therapy<BR>❑ Monitor as inpatient 3–5 days</div>|C02=<div style="text-align: left; padding: 5px;">❑ Consider CABG<BR>❑ Conservative Rx may be reasonable</div>|C03=<div style="text-align: left; padding: 5px;">❑ Consider PCI if feasible, OR<BR>❑ Urgent CABG (based on technical considerations and local expertise</div>}} | {{Familytree | | | C01 | | | | C02 | | | | C03 | | |C01=<div style="text-align: left; padding: 5px;">❑ Conservative therapy<BR>❑ Monitor as inpatient 3–5 days</div>|C02=<div style="text-align: left; padding: 5px;">❑ Consider CABG<BR>❑ Conservative Rx may be reasonable</div>|C03=<div style="text-align: left; padding: 5px;">❑ Consider PCI if feasible, OR<BR>❑ Urgent CABG (based on technical considerations and local expertise</div>}} | ||
Revision as of 14:50, 27 February 2018
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Spontaneous Coronary Artery Dissection Microchapters |
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Differentiating Spontaneous coronary artery dissection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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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
Algorithm for management of acute spontaneous coronary artery dissection: A Scientific Statement From the American Heart Association
Algorithm for management of acute spontaneous coronary artery dissection.[1]
| Management of Acute Spontaneous Coronary Artery Dissection | |||||||||||||||||||||||||||||||||||||||
| Clinically stable without high-risk anatomy (i.e., left main or proximal 2-vessel dissection) | Clinically stable with high-risk anatomy (i.e., left main or proximal 2-vessel dissection) | Active/ongoing ischemia or hemodynamic instability | |||||||||||||||||||||||||||||||||||||
❑ Conservative therapy ❑ Monitor as inpatient 3–5 days | ❑ Consider CABG ❑ Conservative Rx may be reasonable | ❑ Consider PCI if feasible, OR ❑ Urgent CABG (based on technical considerations and local expertise | |||||||||||||||||||||||||||||||||||||
Abbreviations:
CABG, coronary artery bypass grafting;
PCI, percutaneous coronary intervention;
Rx, management.
References
- ↑ Hayes, Sharonne N.; Kim, Esther S.H.; Saw, Jacqueline; Adlam, David; Arslanian-Engoren, Cynthia; Economy, Katherine E.; Ganesh, Santhi K.; Gulati, Rajiv; Lindsay, Mark E.; Mieres, Jennifer H.; Naderi, Sahar; Shah, Svati; Thaler, David E.; Tweet, Marysia S.; Wood, Malissa J. (2018). "Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association". Circulation: CIR.0000000000000564. doi:10.1161/CIR.0000000000000564. ISSN 0009-7322.