IMR Press / RCM / Volume 18 / Issue 1 / DOI: 10.3909/ricm0842

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Spontaneous Coronary Artery Dissection: A Review of Pathogenesis, Presentations, Treatment, and Outcomes
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1 Baylor University Medical Center, Division of Cardiology, Dallas, TX
2 Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, TX
3 Texas A&#xFE60M College of Medicine, Bryan, TX
4 The Heart Hospital, Plano, TX
Rev. Cardiovasc. Med. 2017, 18(1), 29–36;
Published: 30 March 2017
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndromes and sudden cardiac death. The epidemiology, pathogenesis, and optimal approaches to diagnosis and management are poorly understood. Additionally, SCAD as a syndrome is commonly under-recognized and its prognosis is not well studied. Guidelines on management of SCAD have not yet been established. We present three cases of SCAD that varied in their clinical presentation and describe the different management strategies utilized. This is followed by a review of the clinical features, epidemiology, prognosis, and potential treatment strategies for patients presenting with SCAD.
Spontaneous coronary artery dissection
Fibromuscular dysplasia
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