Spontaneous Coronary Artery Dissection
https://doi.org/10.18087/cardio.2019.9.10269
Abstract
During several recent decades spontaneous coronary artery dissection (SCAD) has been known as one of causes of development of acute coronary syndrome (ACS). It has been assumed that this condition is extremely rarely met and is associated with pregnancy and postpartum period. The use in clinical practice of high sensitivity troponin, coronary angiography (CAG) in early period of ACS, in conjunction with the growing awareness of doctors about this pathology led to a revision of the viewse on prevalence of the disease. At present SCAD is considered as one of the causes of ACS in young and middle-aged women. In this review we present results of studies of pathogenesis, diagnostics, and treatment of SCAD, describe various angiographic types of this disease, and discuss problems of choice of optimal strategy of management of patients with SCAD.
About the Authors
N. S. ZhukovaRussian Federation
MD, PhD
Moscow
R. M. Shakhnovich
Russian Federation
Moscow
I. N. Merkulova
Russian Federation
Moscow
T. S. Sukhinina
Russian Federation
Moscow
D. V. Pevzner
Russian Federation
Moscow
I. I. Staroverov
Russian Federation
Moscow
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Review
For citations:
Zhukova N.S., Shakhnovich R.M., Merkulova I.N., Sukhinina T.S., Pevzner D.V., Staroverov I.I. Spontaneous Coronary Artery Dissection. Kardiologiia. 2019;59(9):52-63. (In Russ.) https://doi.org/10.18087/cardio.2019.9.10269