Multimodality Imaging for Spontaneous Coronary Artery Dissection in Women

Abstract Spontaneous coronary artery dissection (SCAD) has gained attention as a key cause of acute coronary syndrome and sudden cardiac death among women. Recent advancements in cardiac imaging have improved identification and accelerated awareness of SCAD. Accurate diagnosis of SCAD through use of...

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Bibliographic Details
Published in:JACC. Cardiovascular imaging 2016-04, Vol.9 (4), p.436-450
Main Authors: Tweet, Marysia S., MD, Gulati, Rajiv, MD, PhD, Williamson, Eric E., MD, Vrtiska, Terri J., MD, Hayes, Sharonne N., MD
Format: Article
Language:English
Subjects:
Adult
Age of Onset
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - mortality
Aneurysm, Dissecting - therapy
cardiac imaging
Cardiovascular
Coronary Aneurysm - diagnostic imaging
Coronary Aneurysm - mortality
Coronary Aneurysm - therapy
coronary angiography
coronary computed tomography angiography
echocardiography
Female
fibromuscular dysplasia
Humans
intravascular imaging
Middle Aged
Multimodal Imaging - methods
myocardial infarction
Predictive Value of Tests
Prognosis
Risk Factors
Sex Factors
spontaneous coronary artery dissection
women
Women's Health
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Summary:Abstract Spontaneous coronary artery dissection (SCAD) has gained attention as a key cause of acute coronary syndrome and sudden cardiac death among women. Recent advancements in cardiac imaging have improved identification and accelerated awareness of SCAD. Accurate diagnosis of SCAD through use of imaging is critical, as emerging evidence suggests that the optimal short- and long-term management strategies for women with SCAD differs substantially from that of women with atherosclerotic coronary disease. This review summarizes the application of both invasive and noninvasive imaging for the diagnosis, assessment, surveillance, and treatment of women affected by SCAD.
ISSN:1936-878X
1876-7591
DOI:10.1016/j.jcmg.2016.01.009