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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. Zhukova
National Medical Research Center for Cardiology
Russian Federation

MD, PhD

Moscow



R. M. Shakhnovich
National Medical Research Center for Cardiology
Russian Federation
Moscow


I. N. Merkulova
National Medical Research Center for Cardiology
Russian Federation
Moscow


T. S. Sukhinina
National Medical Research Center for Cardiology
Russian Federation
Moscow


D. V. Pevzner
National Medical Research Center for Cardiology
Russian Federation
Moscow


I. I. Staroverov
National Medical Research Center for Cardiology
Russian Federation
Moscow


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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

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