Spontaneous coronary artery dissections and associated predisposing factors: anarrative review

E. B. N. J. Janssen; P. W. de Leeuw; A. H. E. M. Maas

doi:10.1007/s12471-019-1235-4

Spontaneous coronary artery dissections and associated predisposing factors: anarrative review

E. B. N. J. Janssen, P. W. de Leeuw, A. H. E. M. Maas^*

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

Spontaneous coronary artery dissection (SCAD) represents around 25% of cases of acute coronary syndromes (ACS) in women aged 40-65years who have few or no traditional cardiovascular risk factors. It is assumed that the incidence is underestimated, as the angiographic appearance of SCAD may often mimic atherosclerosis. This review aims to examine SCAD by focusing on the associated predisposing factors and precipitating stressors in this heterogeneous patient population, as well as the best treatment approach and the prognosis. Progressive knowledge has improved our current understanding of SCAD, but more awareness among clinicians is necessary. Recently, two position papers from the European Society of Cardiology (ESC) and the American Heart Association (AHA) have been released, which will be summarised in brief.

Original language	English
Pages (from-to)	246-251
Number of pages	6
Journal	Netherlands Heart Journal
Volume	27
Issue number	5
DOIs	https://doi.org/10.1007/s12471-019-1235-4
Publication status	Published - May 2019

Keywords

Spontaneous coronary artery dissection
Acute coronary syndrome
Myocardial infarction
Fibromuscular dysplasia
Women
ACUTE MYOCARDIAL-INFARCTION
FIBROMUSCULAR DYSPLASIA
PREVALENCE
MANAGEMENT
STRESSORS
ANEURYSM
TRIGGERS
REGISTRY
WOMEN

Access to Document

10.1007/s12471-019-1235-4Licence: CC BY

Cite this

@article{c2c6ceb461d341d7879219a66b1188e6,

title = "Spontaneous coronary artery dissections and associated predisposing factors: anarrative review",

abstract = "Spontaneous coronary artery dissection (SCAD) represents around 25% of cases of acute coronary syndromes (ACS) in women aged 40-65years who have few or no traditional cardiovascular risk factors. It is assumed that the incidence is underestimated, as the angiographic appearance of SCAD may often mimic atherosclerosis. This review aims to examine SCAD by focusing on the associated predisposing factors and precipitating stressors in this heterogeneous patient population, as well as the best treatment approach and the prognosis. Progressive knowledge has improved our current understanding of SCAD, but more awareness among clinicians is necessary. Recently, two position papers from the European Society of Cardiology (ESC) and the American Heart Association (AHA) have been released, which will be summarised in brief.",

keywords = "Spontaneous coronary artery dissection, Acute coronary syndrome, Myocardial infarction, Fibromuscular dysplasia, Women, ACUTE MYOCARDIAL-INFARCTION, FIBROMUSCULAR DYSPLASIA, PREVALENCE, MANAGEMENT, STRESSORS, ANEURYSM, TRIGGERS, REGISTRY, WOMEN",

author = "Janssen, {E. B. N. J.} and {de Leeuw}, {P. W.} and Maas, {A. H. E. M.}",

note = "Publisher Copyright: {\textcopyright} 2019, The Author(s).",

year = "2019",

month = may,

doi = "10.1007/s12471-019-1235-4",

language = "English",

volume = "27",

pages = "246--251",

journal = "Netherlands Heart Journal",

issn = "1568-5888",

publisher = "Bohn Stafleu van Loghum",

number = "5",

}

TY - JOUR

T1 - Spontaneous coronary artery dissections and associated predisposing factors

T2 - anarrative review

AU - Janssen, E. B. N. J.

AU - de Leeuw, P. W.

AU - Maas, A. H. E. M.

PY - 2019/5

Y1 - 2019/5

N2 - Spontaneous coronary artery dissection (SCAD) represents around 25% of cases of acute coronary syndromes (ACS) in women aged 40-65years who have few or no traditional cardiovascular risk factors. It is assumed that the incidence is underestimated, as the angiographic appearance of SCAD may often mimic atherosclerosis. This review aims to examine SCAD by focusing on the associated predisposing factors and precipitating stressors in this heterogeneous patient population, as well as the best treatment approach and the prognosis. Progressive knowledge has improved our current understanding of SCAD, but more awareness among clinicians is necessary. Recently, two position papers from the European Society of Cardiology (ESC) and the American Heart Association (AHA) have been released, which will be summarised in brief.

AB - Spontaneous coronary artery dissection (SCAD) represents around 25% of cases of acute coronary syndromes (ACS) in women aged 40-65years who have few or no traditional cardiovascular risk factors. It is assumed that the incidence is underestimated, as the angiographic appearance of SCAD may often mimic atherosclerosis. This review aims to examine SCAD by focusing on the associated predisposing factors and precipitating stressors in this heterogeneous patient population, as well as the best treatment approach and the prognosis. Progressive knowledge has improved our current understanding of SCAD, but more awareness among clinicians is necessary. Recently, two position papers from the European Society of Cardiology (ESC) and the American Heart Association (AHA) have been released, which will be summarised in brief.

KW - Spontaneous coronary artery dissection

KW - Acute coronary syndrome

KW - Myocardial infarction

KW - Fibromuscular dysplasia

KW - Women

KW - ACUTE MYOCARDIAL-INFARCTION

KW - FIBROMUSCULAR DYSPLASIA

KW - PREVALENCE

KW - MANAGEMENT

KW - STRESSORS

KW - ANEURYSM

KW - TRIGGERS

KW - REGISTRY

KW - WOMEN

U2 - 10.1007/s12471-019-1235-4

DO - 10.1007/s12471-019-1235-4

M3 - (Systematic) Review article

C2 - 30684142

SN - 1568-5888

VL - 27

SP - 246

EP - 251

JO - Netherlands Heart Journal

JF - Netherlands Heart Journal

IS - 5

ER -

Spontaneous coronary artery dissections and associated predisposing factors: anarrative review

Abstract

Keywords

Access to Document

Fingerprint

Cite this