Key result
This review summarizes recent studies on the angiographic classification, diagnostic algorithms, and optimal treatment strategies for spontaneous coronary artery dissection.
Why the study?
The optimal management strategy for patients with spontaneous coronary artery dissection remains debatable and differs significantly from standard approaches to coronary atherosclerosis.
Answers are grounded in this paper and cite their sources.
This review outlines the angiographic classification, diagnostic algorithms, and management strategies for spontaneous coronary artery dissection, highlighting its distinct approach compared to atherosclerotic coronary disease.
Spontaneous coronary artery dissection (SCAD) is one of the rarest causes of acute coronary syndrome. SCAD is most common in women <60 years of age (≥90% of cases) compared with men (10-12%). The rapid development of technologies used in interventional cardiology has made it possible to improve diagnostics and understand the pathogenesis. The management strategy in patients with SCAD is debatable and differs significantly from approaches to coronary atherosclerosis treatment. The review presents the results of recent studies. The angiographic classification of SCAD, the diagnostic algorithm and the choice of optimal treatment depending on clinical manifestations are also described.
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Zainobidinov et al. (2022) conducted a review in Spontaneous coronary artery dissection (SCAD). This review summarizes recent studies on the angiographic classification, diagnostic algorithms, and optimal treatment strategies for spontaneous coronary artery dissection.
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