Key result
Spontaneous coronary artery dissection is increasingly recognized as a cause of acute coronary syndrome in young and middle-aged women, requiring specific diagnostic and management strategies.
Why the study?
Increased use of high sensitivity troponin and early coronary angiography, alongside growing clinical awareness, has revised views on SCAD prevalence, prompting a review of its pathogenesis, diagnostics, angiographic types, and optimal management strategies.
This review highlights the growing recognition of spontaneous coronary artery dissection as a significant cause of acute coronary syndrome in young and middle-aged women, summarizing current diagnostic and management strategies.
Heightens vigilance for SCAD in young women with ACS; leaves open optimal management pending prospective trials.
During several recent decades spontaneous coronary artery dissection (SCAD) has been known as one of causes of development of acute coronary syndrome (ACS). It has been assumed that this condition is extremely rarely met and is associated with pregnancy and postpartum period. The use in clinical practice of high sensitivity troponin, coronary angiography (CAG) in early period of ACS, in conjunction with the growing awareness of doctors about this pathology led to a revision of the viewse on prevalence of the disease. At present SCAD is considered as one of the causes of ACS in young and middle-aged women. In this review we present results of studies of pathogenesis, diagnostics, and treatment of SCAD, describe various angiographic types of this disease, and discuss problems of choice of optimal strategy of management of patients with SCAD.
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Zhukova et al. (2019) conducted a review in Spontaneous Coronary Artery Dissection. Spontaneous coronary artery dissection is increasingly recognized as a cause of acute coronary syndrome in young and middle-aged women, requiring specific diagnostic and management strategies.
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