Follow up after spontaneous coronary artery dissection: a report of five cases

Five cases of spontaneous coronary artery dissection (SCAD) are reported, three in women and two in men (mean age 44 years; range 28-65), all of whom suffered a myocardial infarction. Common risk factors for coronary artery disease were present in the two men; in the female group one patient was tak...

Full description

Saved in:
Bibliographic Details
Published in:Heart (British Cardiac Society) 1996-02, Vol.75 (2), p.206-209
Main Authors: Zampieri, P., Aggio, S., Roncon, L., Rinuncini, M., Canova, C., Zanazzi, G., Fiorencis, R., Zonzin, P.
Format: Article
Language:English
Subjects:
Acute Disease
Adrenergic beta-Antagonists - therapeutic use
Adult
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aspirin - therapeutic use
Coronary Angiography
Coronary Disease - complications
Coronary Disease - diagnostic imaging
Coronary Disease - drug therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - drug therapy
Myocardial Infarction - etiology
Tissue Plasminogen Activator - therapeutic use
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Five cases of spontaneous coronary artery dissection (SCAD) are reported, three in women and two in men (mean age 44 years; range 28-65), all of whom suffered a myocardial infarction. Common risk factors for coronary artery disease were present in the two men; in the female group one patient was taking an oral contraceptive, one was in the postpartum period, and the third was a smoker. Only the three women received intravenous alteplase and their ejection fraction was normal; both men had impaired left ventricular function. Two patients had SCAD of the left anterior descending coronary artery and three of the right coronary artery. Only the two men had angiographic features of coronary atherosclerotic involvement. No patients required surgical revascularisation or percutaneous transluminal coronary angioplasty. At a mean follow up of 27 months (range 6 to 40) all patients were alive and all but one were asymptomatic.
ISSN:1355-6037
1468-201X
DOI:10.1136/hrt.75.2.206