|
|
| Line 1: |
Line 1: |
| | | {#widget:gc} |
| ===Management Algorithm for Spontaneous Coronary Artery Dissection <ref name="pmid25406203">{{cite journal| author=Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS et al.| title=Spontaneous coronary artery dissection: revascularization versus conservative therapy. | journal=Circ Cardiovasc Interv | year= 2014 | volume= 7 | issue= 6 | pages= 777-86 | pmid=25406203 | doi=10.1161/CIRCINTERVENTIONS.114.001659 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25406203 }} </ref> ===
| |
| | |
| <div style="font-size: 70%;">
| |
| {{Familytree/start}}
| |
| | |
| {{Familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | | | | | | | A01 | A01=<div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;">'''Spontaneous Coronary Artery Dissection (SCAD)'''</div>}}
| |
| {{Familytree | | | |,|-|-|-|-|-|-|^|-|-|-|-|.| }}
| |
| {{Familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | B01 | | | | | | | | | | B02 | B01= <div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;">'''Stable, no high-risk feature (i.e., left main or proximal 2-vessel coronary artery dissection)'''</div>|B02= <div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;"> '''High-risk feature present'''</div>}}
| |
| {{familytree | | | |!| | | | | | | | | | | |!|}}
| |
| {{familytree | | | |!| | | | | | | |,|-|-|-|^|-|-|-|v|-|-|-|v|-|-|-|.|}}
| |
| {{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px background: #FFFFFF;| | | |!| | | | | | | C01 | | | | | | C02 | | C03 | | C04 | C01=<div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;">Left main dissection</div>|C02=<div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;">Ongoing/recurrent ischemia</div>|C03=<div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;">Ventricular tachycardia or fibrillation</div>|C04=<div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 15px;">Cardiogenic shock</div>}}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |`|-|v|-|'|}}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | |!| }}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | Z01 | Z01=Hemodynamically unstable?}}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | |!| | }}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |,|-|^|-|.|}}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | D01 | | D02 | D01=No | D02=Yes }}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | |!|}}
| |
| {{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | E01 | E01=<div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 30px;">Consider: Intra-aortic balloon pump, Extra corporeal membrane oxygenation, Left ventricular assist device, Implantable cardioverter defibrillator</div>}}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | |!|}}
| |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | |!| | | |!|}}
| |
| {{familytree | | | |!| | | | | |,|-|^|-|.| | | | | |`|-|v|-|'| | | |!|}}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | | | | | |!| | | | | |!|}}
| |
| {{familytree |boxstyle=width: 1200px; font-size: 90%; padding: 0px;| | | |!| | | | | F01 | | F02 | | | | | | F03 |-|-|-|-|'| F01= <div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 30px;">Isolated Left Main</div>|F02= <div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 10px;">Involving Left Anterior Descending (LAD) +/or circumflex</div>| F03= <div style="text-align: center; background: #FFFFFF; font-weight: bold; padding: 30px;">Is percutaneous coronary intervention (PCI) feasible?</div>}}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | | | | | |!|}}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | | | |,|-|^|-|-|-|.|}}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | | | G01 | | | | G02 |G01=No | G02=Yes }}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | | | |!| | | | | |!|}}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | | | H01 | | | | |!|H01 = Ostial LAD or ≥ 2 proximal SCAD?}}
| |
| {{familytree | | | |!| | | | | |!| | | |!| | | |,|-|^|-|.| | | |!|}}
| |
| {{familytree | | | I02 | | | | I03 | | |`|-|-| I01 | | I02 | | I03 |I01=Coronary artery bypassing | I02=Conservative therapy | I03=PCI}}
| |
| {{familytree | | | |`|-|-|-|-|-|^|-|-|-|v|-|-|-|^|-|-|-|^|-|-|-|'|}}
| |
| {{familytree | | | | | | | | | | | | | |!|}}
| |
| {{familytree | | | | | | | | | | | | | J01 | J01='''Adjunctive medical therapy''' <BR> Aspirin and beta-blocker (± clopidogrel, ACEI/ARB, statin)}}
| |
| {{familytree | | | | | | | | | | | | | |!|}}
| |
| {{familytree | | | | | | | | | | | | | K01 | K01=Monitor in-hospital for 3 to 5 days}}
| |
| {{Family tree/end}}
| |
| | |
| </div>
| |