Key result
Spontaneous coronary artery dissection disproportionately affects women and is associated with high recurrence rates, with conservative management strongly favored over invasive interventions.
Why the study?
Disproportionate quality of care for women with cardiovascular disease prompted renewed focus on disease awareness and prevention, particularly for spontaneous coronary artery dissection which must be evaluated and treated differently from atherosclerotic MI.
This review highlights that SCAD requires different diagnostic and management strategies compared to atherosclerotic MI, with a preference for conservative management to avoid iatrogenic complications.
Highlights need for cautious conservative SCAD care in women; leaves open prospective trials to confirm strategies.
Research has demonstrated the disproportionate quality of care for women with cardiovascular disease. These findings have prompted a renewed focus on cardiovascular disease awareness and disease prevention in women. Spontaneous coronary artery dissection (SCAD) is a significant cause of myocardial infarction (MI) and sudden death that primarily affects women. ongoing research has led to improved diagnostic capabilities and changes in approaches to initial and long-term management most importantly this research has provided evidence that SCAD is more common than previously thought and must be evaluated and treated differently from atherosclerotic MI. The difference between SCAD and atherosclerotic MI is highlighted in high rates of recurrent disease, gender distribution, association with exogenous hormones, pregnancy, migraine, physical and emotional stress triggers, concurrent systemic arteriopathies, and connective tissue disease. In this review, we provide updated insights and a summary of the epidemiology, risk factors, clinical presentation, diagnosis, treatment options, prognosis, and recurrence prevention of SCAD. We aim to provide a review of SCAD as a focus on cardiovascular disease awareness and disease prevention in women.
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Khiatah et al. (2022) conducted a review in Spontaneous coronary artery dissection. Conservative management vs. Percutaneous coronary intervention or CABG was evaluated. Spontaneous coronary artery dissection disproportionately affects women and is associated with high recurrence rates, with conservative management strongly favored over invasive interventions.
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