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LETTER TO THE EDITOR

Spontaneous coronary artery dissection

, , , , , , & show all
Pages 162-171 | Received 16 Dec 2005, Accepted 28 Apr 2006, Published online: 10 Jul 2009
 

Abstract

Spontaneous coronary artery dissection (SCAD) should be considered as a cause of the acute coronary syndrome in young patients with few apparent risk factors for coronary artery disease, in females in the peripartum period, and in patients who are at a higher risk for this condition. SCAD can also present as sudden death and cardiogenic shock. Several mechanisms have been described in the pathophysiology of this condition. Urgent coronary angiography is indicated if SCAD is suspected. Percutaneous coronary artery stenting and coronary artery bypass grafting are the main treatment strategies.

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