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Perform early coronary angiography
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Presence of type 1 SCAD lesion characteristics? <span style="color: #0645AD;">(click for details)</span>
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❑&nbsp;&nbsp;Pathognomonic appearance of contrast dye staining of arterial wall
 
❑&nbsp;&nbsp;Multiple radiolucent lumens
 
❑&nbsp;&nbsp;±Dye hang-up or slow contrast clearing from the lumen
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Revision as of 17:26, 28 November 2017

Spontaneous Coronary Artery Dissection Microchapters

Home

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

Algorithm for the Angiographic Diagnosis and Confirmation of Spontaneous Coronary Artery Dissection[1]

 
 
 
 

Presence of features that raise a high clinical index of suspicion for SCAD? (click for details)


❑  Myocardial infarction in young women (especially age ≤50)

❑  Absence of traditional cardiovascular risk factors

❑  Little or no evidence of typical atherosclerotic lesions in coronary arteries

❑  Peripartum state

❑  History of fibromuscular dysplasia

❑  History of relevant connective tissue disorder or systemic inflammatory condition

    ❑  Marfan's syndrome

    ❑  Ehlers-Danlos syndrome Type 4

    ❑  Loeys-Dietz syndrome

    ❑  Cystic medial necrosis

    ❑  Systemic lupus erythematosus

    ❑  Crohn's disease

    ❑  Ulcerative colitis

    ❑  Polyarteritis nodosa

    ❑  Sarcoidosis

    ❑  Churg-Strauss syndrome

    ❑  Wegener's granulomatosis

    ❑  Rheumatoid arthritis

    ❑  Giant cell arteritis


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Perform early coronary angiography

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Presence of type 1 SCAD lesion characteristics? (click for details)


❑  Pathognomonic appearance of contrast dye staining of arterial wall

❑  Multiple radiolucent lumens

❑  ±Dye hang-up or slow contrast clearing from the lumen


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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{{{ F01 }}}
 
 
 
 
 
{{{ F02 }}}
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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References

  1. Saw J (2014). "Coronary angiogram classification of spontaneous coronary artery dissection". Catheter Cardiovasc Interv. 84 (7): 1115–22. doi:10.1002/ccd.25293. PMID 24227590.