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Incidence and outcomes of cardiogenic shock among women with spontaneous coronary artery dissection

Background There is a paucity of data on cardiogenic shock (CS) incidence and outcomes among patients with spontaneous coronary artery dissection (SCAD). Methods Women admitted to the hospital for acute myocardial infarction (AMI) with and without SCAD were identified from the United States National...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2022-10, Vol.100 (4), p.530-534
Main Authors: Osman, Mohammed, Syed, Moinuddin, Simpson, Timothy F., Bhardwaj, Bhaskar, Kheiri, Babikir, Divanji, Punag, Golwala, Harsh, Zahr, Firas, Cigarroa, Joaquin E.
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Language:English
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Summary:Background There is a paucity of data on cardiogenic shock (CS) incidence and outcomes among patients with spontaneous coronary artery dissection (SCAD). Methods Women admitted to the hospital for acute myocardial infarction (AMI) with and without SCAD were identified from the United States National Readmission Database from October 1, 2015 to December 31, 2018. We calculated the incidence of CS among women with AMI with and without SCAD and odds for developing CS after adjusting for baseline characteristics. In addition, we report the utilization of percutaneous coronary intervention, mechanical circulatory support, severe disability surrogates, and 30‐day readmission rates. Results A total of 664,292 patients admitted for AMI were eligible for analysis, including 6643 patients with SCAD and 657,649 without SCAD. Patients with SCAD were younger (57 years [interquartile range, IQR 48–68] vs. 71 years [IQR 60–81], p 
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.30362