Spontaneous coronary artery dissection: A diagnosis to consider in acute coronary syndromes

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2009

Autores

Oliveira, SM (Autor) Outra; Goncalves, A (Autor) FMUP; Dias, P (Autor) Outra; Maciel, MJ (Autor) FMUP

Revista

Título: Boletim da Sociedade Portuguesa de Cardiologia

Vol. 28

Páginas: 707-713

ISSN: 0304-4750

Editora: Sociedade Portuguesa De Cardiologia

Indexação

ISI Web of Knowledge

Scopus - 6 Citações

Outras Informações

ID Authenticus: P-007-QV6

Abstract (EN): Spontaneous coronary artery dissection is an extremely rare cause of acute coronary syndrome, with a reported angiographic incidence ranging between 0.1 and 1.1%. It mainly affects young patients, in particular women in the peripartum period or taking oral contraceptives, without possessing a definite relation with the classic risk factors for coronary artery disease. The left coronary artery system is the most frequently diseased, although the pattern of artery involvement is gender-based. Clinically, the presentation spectrum ranges from mild symptoms to sudden cardiac death. The major pathophysiologic processes underlying medial dissection are the presence of an intimal tear or the formation of an intramural hematoma. Several treatment modalities have been reported with varying success, although owing to the rarity of this condition, the optimal treatment options remain to be established.

Idioma: Inglês

Tipo (Avaliação Docente): Científica