What is the clinical evidence from this study?

Study design: Observational. Population: Pregnancy-associated spontaneous coronary artery dissection (P-SCAD) (n=13).

What does this research mean for the field?

Pregnancy-associated spontaneous coronary artery dissection predominantly occurs during the puerperium and frequently presents with acute myocardial infarction, cardiogenic shock, and left coronary artery involvement. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

February 28, 2016European Heart Journal - Cardiovascular ImagingOpen Access

Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients

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Key result

Pregnancy-associated spontaneous coronary artery dissection predominantly occurred during the puerperium (12 of 13 patients) and frequently presented with acute myocardial infarction (92%).

Population

13 patients with pregnancy-associated spontaneous coronary artery dissection, mean age 33.8 ± 3.7 years…

Design

Case_series

Authors

JCJamil CadeHospital Santa Marcelina GSGilberto SzarfAlbert Einstein College of Medicine MSMaria Eduarda Menezes de SiqueiraUniversidade Federal de São Paulo

Discussion

Member takes

Implication

Alerts clinicians to puerperal SCAD risk with AMI; leaves open prospective studies for management guidance.

Study Design

Type

Observational (n=13)

Multicenter

Yes

Structured PICO

Population

13 patients with pregnancy-associated spontaneous coronary artery dissection (P-SCAD), mean age 33.8 ± 3.7 years, mostly multiparous with no risk factors for coronary artery disease.

Intervention

Acute phase treatment including clinical management, percutaneous coronary intervention (PCI), or coronary artery bypass grafting (CABG).

Outcome

Angiographic and multimodal imaging findings, acute phase treatment, and outcomes.

Pregnancy-associated SCAD is a high-risk condition frequently presenting with acute myocardial infarction, cardiogenic shock, and left main or multivessel involvement.

Cite This Study

Cade et al. (2016) conducted an observational in Pregnancy-associated spontaneous coronary artery dissection (P-SCAD) (n=13). Pregnancy-associated spontaneous coronary artery dissection predominantly occurred during the puerperium (12 of 13 patients) and frequently presented with acute myocardial infarction (92%).

synapsesocial.com/papers/6a13db913f92ec2dd7597e58 https://doi.org/10.1093/ehjci/jew021

Topics

Percutaneous coronary intervention

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Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Topics

Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider