Spontaneous coronary artery dissection differential diagnosis

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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: Arzu Kalayci, M.D. [2]

Synonyms and keywords: SCAD

Overview

Differential Diagnosis

Albeit an infrequent condition, spontaneous coronary artery dissection (SCAD) should be included in the differential diagnosis of acute coronary syndrome (ACS). Demographic and angiographic characteristics may be useful in differentiating SCAD from other causes of ACS.

Demographic characteristics that raise the index of suspicion for SCAD include:[1]

  • Marfan's syndrome
  • Type 4 Ehlers-Danlos syndrome
  • 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

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.