Key result
Among 5 patients with spontaneous coronary artery dissection, angiographic evolution varied and was uncorrelated with treatment, but all remained asymptomatic after an 18-month follow-up.
Population
5 patients with spontaneous coronary artery dissection identified from 2,241 coronary arteriograms
Design
Case_series
Follow-up
Angiographic at 10-18 months, clinical for ≥ 20 months
Authors
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Angiographic variability in SCAD may not warrant treatment changes in asymptomatic patients; leaves open optimal strategies pending larger prospective data.
Case Report (n=5)
This case series highlights the variable clinical presentation, angiographic evolution, and treatment responses of spontaneous coronary artery dissection, with all patients remaining asymptomatic at medium-term follow-up.
Pita et al. (1994) conducted a case report in Spontaneous coronary artery dissection (n=5). Pharmacological or surgical treatment was evaluated on Angiographic evolution and clinical symptoms. Among 5 patients with spontaneous coronary artery dissection, angiographic evolution varied and was uncorrelated with treatment, but all remained asymptomatic after an 18-month follow-up.
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