Spontaneous coronary artery dissection CT: Difference between revisions

Jump to navigation Jump to search
 
(4 intermediate revisions by the same user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Spontaneous coronary artery dissection}}
{{Spontaneous coronary artery dissection}}
{{CMG}}; {{AE}}{{NRM}}
{{CMG}}; {{AE}}{{Sara.Zand}}


{{SK}} SCAD
{{SK}} SCAD


==Overview==
==Overview==
There are no [[CT scan]] findings associated with spontaneous coronary artery dissection. However, a [[CT scan]] may be helpful in the [[diagnosis]] of [[vascular]] anomalies associated with SCAD. High resolution computed tomography may be useful in the detection of vascular abnormalities as compared with other noninvasive [[imaging]] modalities.
[[coronary]] [[computed tomography angiography]] maybe helpful in the diagnosis of [[spontaneous coronary artery dissection]]. Findings on [[coronary]] [[computed tomography angiography]] suggestive of [[spontaneous coronary artery dissection]] include abrupt luminal [[stenosis]] of the [[coronary]] lumen, [[intramural]] [[hematoma]],tapered [[luminal stenosis]], [[epicardial fat strand]], [[coronary tortuosity]], [[coronary bridging]], [[myocardial hypoperfusion]], [[regional wall motion abnormality]].
 
==CT==
==CT==
*[[coronary]] [[computed tomography angiography]] maybe helpful in the diagnosis of [[spontaneous coronary artery dissection]]. Findings on [[coronary]] [[computed tomography angiography]] suggestive of [[spontaneous coronary artery dissection]] include:
*[[Coronary]] [[computed tomography angiography]] maybe helpful in the diagnosis of [[spontaneous coronary artery dissection]]. Findings on [[coronary]] [[computed tomography angiography]] suggestive of [[spontaneous coronary artery dissection]] include:
:* Abrupt luminal [[stenosis]] of the [[coronary]] lumen  
:* Abrupt luminal [[stenosis]] of the [[coronary]] lumen  
:* [[Intramural hematoma]]
:* [[Intramural]] [[hematoma]]
:* Tapered [[luminal stenosis]]
:* Tapered [[luminal stenosis]]
:* [[Epicardial fat strand]]
:* [[Epicardial fat strand]]
Line 16: Line 17:
:* [[Coronary bridging]]
:* [[Coronary bridging]]
:* [[Myocardial hypoperfusion]]
:* [[Myocardial hypoperfusion]]
:* [[Regional wall motion abnormality]]
:* [[Regional wall motion abnormality]]<ref name="pmid29376398">{{cite journal |vauthors=Tweet MS, Akhtar NJ, Hayes SN, Best PJ, Gulati R, Araoz PA |title=Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography |journal=Eur Heart J Acute Cardiovasc Care |volume=8 |issue=5 |pages=467–475 |date=August 2019 |pmid=29376398 |pmc=6027604 |doi=10.1177/2048872617753799 |url=}}</ref>


==References==
==References==

Latest revision as of 09:52, 4 March 2021

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

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]

Synonyms and keywords: SCAD

Overview

coronary computed tomography angiography maybe helpful in the diagnosis of spontaneous coronary artery dissection. Findings on coronary computed tomography angiography suggestive of spontaneous coronary artery dissection include abrupt luminal stenosis of the coronary lumen, intramural hematoma,tapered luminal stenosis, epicardial fat strand, coronary tortuosity, coronary bridging, myocardial hypoperfusion, regional wall motion abnormality.

CT

References

  1. Tweet MS, Akhtar NJ, Hayes SN, Best PJ, Gulati R, Araoz PA (August 2019). "Spontaneous coronary artery dissection: Acute findings on coronary computed tomography angiography". Eur Heart J Acute Cardiovasc Care. 8 (5): 467–475. doi:10.1177/2048872617753799. PMC 6027604. PMID 29376398.