Letter to the EditorSpontaneous left main coronary artery dissection in pregnancy
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Cited by (11)
Pathology of sudden death, cardiac arrhythmias, and conduction system
2022, Cardiovascular PathologyCardiovascular Emergencies in Pregnancy
2019, Emergency Medicine Clinics of North AmericaCitation Excerpt :Diagnosis of SCAD, as in other causes of AMI, includes abnormal ECG changes, elevated troponin levels, and regional wall motion abnormalities on echocardiography.52 The definitive diagnosis of SCAD is by coronary angiography, but CT may detect some cases.53 Treatment tends to be conservative.
Evolving management and improving outcomes of pregnancy-associated spontaneous coronary artery dissection (P-SCAD): a systematic review
2018, IJC Heart and VasculatureCitation Excerpt :Our search strategy returned 273 results. Exclusion of duplicate results and articles not meeting specified a priori criteria (162 articles) resulted in 111 articles describing 138 cases of P-SCAD [5–92]. Demographic case details extracted from all case reports were maternal age, cardiac risk factors (defined as both number of cardiac risk factors and a binary variable), presence of an autoimmune or connective tissue disorder, gravidity/parity status, gestational time or days post-partum at onset of P-SCAD, and whether the pregnancy was a result of in vitro fertilisation (IVF) or a multiple pregnancy.
Pregnancy-Related Spontaneous Coronary Artery Dissection: A Case Series and Literature Review
2017, Journal of Emergency MedicineCitation Excerpt :However, as stated above, patients with AMI due to P-SCAD should not be given heparin or glycoprotein IIb/IIIa inhibitors (10,12). Conservative therapy may be reasonable management in hemodynamically stable patients with P-SCAD (as in cases 3 and 4) (10,52). This management may be preferred in some cases, as intervention has associated risks, and many dissections resolve spontaneously (53,54).
Pathology of Sudden Death, Cardiac Arrhythmias and Conduction System
2016, Cardiovascular Pathology: Fourth Edition