PMID- 27543469
OWN - NLM
STAT- MEDLINE
DCOM- 20170522
LR  - 20181113
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 68
IP  - 4
DP  - 2016 Jul-Aug
TI  - Spontaneous coronary artery dissection: Case series and review of literature.
PG  - 480-5
LID - S0019-4832(15)00928-1 [pii]
LID - 10.1016/j.ihj.2015.11.039 [doi]
AB  - AIM: Spontaneous coronary artery dissection (SCAD) is a less recognized cause of 
      ST elevation myocardial infarction (STEMI) in clinical practice. The aim of this 
      communication is to describe a case series in South Asian population and 
      highlight on the long-term clinical outcomes on conservative management. METHODS: 
      A retrospective analysis of data of five patients (6 instances) of SCAD managed 
      in a tertiary care center during January 1994 to June 2015 was done. Clinical, 
      angiographic, therapeutic, and follow-up data till end of June 2015 are analyzed. 
      RESULTS: All patients were young (mean - 33 years) and predominantly male. 
      Etiology of SCAD was diverse and included peripartum state, vigorous activity and 
      atherosclerosis. Left anterior descending (LAD) coronary artery was predominantly 
      involved and the majority had angiographic type 1 SCAD. Medical treatment 
      provides excellent long-term benefits. Coronary stenting provided symptomatic 
      benefit in a patient with favorable anatomy. CONCLUSIONS: Clinical recognition of 
      SCAD is difficult. It should be suspected in peripartum state, young females and 
      in presence of other precipitating factors. Coronary angiography is essential for 
      establishing the diagnosis. Medical treatment provides favorable long-term 
      survival. IMPLICATIONS AND PRACTICE: The awareness of SCAD is important for all 
      clinicians involved in STEMI care. A prompt suspicion can avoid administration of 
      thrombolytic therapy. Early coronary angiography will provide an accurate 
      diagnosis and help in deciding appropriate therapy. Percutaneous intervention can 
      be challenging.
CI  - Copyright (c) 2015 Cardiological Society of India. Published by Elsevier B.V. All 
      rights reserved.
FAU - Sharma, Satyavan
AU  - Sharma S
AD  - Professor and Head of Cardiology and Interventional Cardiologist, Department of 
      Cardiology, Bombay Hospital and Bombay Hospital Institute of Medical Sciences, 
      Mumbai, India.
FAU - Raut, Nikhil
AU  - Raut N
AD  - Senior Registrar, Department of Cardiology, Bombay Hospital and Bombay Hospital 
      Institute of Medical Sciences, Mumbai, India. Electronic address: 
      nikhs85@gmail.com.
FAU - Potdar, Anil
AU  - Potdar A
AD  - Honorary Cardiologist, Department of Cardiology, Bombay Hospital and Bombay 
      Hospital Institute of Medical Sciences, Mumbai, India.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20160112
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
RN  - Coronary Artery Dissection, Spontaneous
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Coronary Angiography
MH  - Coronary Vessel Anomalies/*diagnosis/surgery
MH  - Coronary Vessels/*diagnostic imaging
MH  - *Early Diagnosis
MH  - Electrocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Percutaneous Coronary Intervention/*methods
MH  - Retrospective Studies
MH  - *Stents
MH  - Vascular Diseases/*congenital/diagnosis/surgery
MH  - Young Adult
PMC - PMC4990736
OTO - NOTNLM
OT  - Coronary artery dissection
OT  - ST elevation myocardial infarction
OT  - Spontaneous coronary artery dissection
EDAT- 2016/08/21 06:00
MHDA- 2017/05/23 06:00
PMCR- 2017/07/01
CRDT- 2016/08/21 06:00
PHST- 2015/09/08 00:00 [received]
PHST- 2015/11/23 00:00 [revised]
PHST- 2015/11/30 00:00 [accepted]
PHST- 2016/08/21 06:00 [entrez]
PHST- 2016/08/21 06:00 [pubmed]
PHST- 2017/05/23 06:00 [medline]
PHST- 2017/07/01 00:00 [pmc-release]
AID - S0019-4832(15)00928-1 [pii]
AID - 10.1016/j.ihj.2015.11.039 [doi]
PST - ppublish
SO  - Indian Heart J. 2016 Jul-Aug;68(4):480-5. doi: 10.1016/j.ihj.2015.11.039. Epub 
      2016 Jan 12.