Men with spontaneous coronary artery dissection were significantly younger and had more cardiovascular risk factors than women, with a higher representation of angiographic types 1 and 1/2.
Do clinical and angiographic characteristics differ between men and women with spontaneous coronary artery dissection?
Men with SCAD present at a younger age with more cardiovascular risk factors and a higher prevalence of intimal tear angiographic patterns compared to women, suggesting potential sex-related mechanistic differences.
Absolute Event Rate: 0% vs 0%
Background: Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndrome, mostly in women; however, differences between the sexes should be investigated. Materials coronary lesions were classified according to the most recent classification and clinical and angiographic data of men and women were compared. Results: Men were significantly younger than women, with more cardiovascular risk factors. Lesions were prevalently classified as type 2A, type 2B or type 1; an angiographic pattern compatible with the presence of an intimal tear (types 1 and 1/2) was more represented in males. Conclusion: Sex-related differences in clinical and angiographic characteristics could help in shedding light on mechanisms that contribute to SCAD.
Zilio et al. (Tue,) reported a other. Men with spontaneous coronary artery dissection were significantly younger and had more cardiovascular risk factors than women, with a higher representation of angiographic types 1 and 1/2.