Extracoronary fibromuscular dysplasia is identified in approximately 70% of spontaneous coronary artery dissection patients, warranting lifetime screening with computed tomography angiography.
This review highlights the strong association between SCAD and FMD, reinforcing the recommendation for comprehensive CT angiography screening in all SCAD patients.
Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndromes. Fibromuscular dysplasia (FMD) is an idiopathic, nonatherosclerotic, and noninflammatory arterial disease that affects small- to medium-sized arteries that can result in multifocal aneurysms, stenosis, tortuosity, and dissections. Extracoronary FMD has been identified in approximately 70% of SCAD patients and it is recommended that all SCAD patients undergo screening for FMD once in their lifetime using computed tomography angiography from head to pelvis. This focused review for cardiologists outlines current approaches to diagnosis and management of patients with FMD.
Petropoulos et al. (Fri,) conducted a review in Fibromuscular Dysplasia and Spontaneous Coronary Artery Dissection. Computed tomography angiography screening was evaluated. Extracoronary fibromuscular dysplasia is identified in approximately 70% of spontaneous coronary artery dissection patients, warranting lifetime screening with computed tomography angiography.