Coronary dissection. Medical search. Frequent questions

Spontaneous coronary artery dissection (SCAD) is an uncommon but potentially lethal condition in which one of the coronary arteries that supply the heart, spontaneously develops a blood collection, or hematoma, within the artery wall due to a tear in the wall. (wikipedia.org)
SCAD is one of the arterial dissections that can occur. (wikipedia.org)
Evidence suggests that estrogen- and progesterone-related vascular changes affect the coronary arteries during this period, contributing to SCAD. (wikipedia.org)
SCAD symptoms are the result of a restriction in the size of the lumen of the affected coronary artery. (wikipedia.org)
While the molecular mechanisms that underpin SCAD are still poorly understood, studies have implicated dysfunction of the vasa vasorum, the microvessels that perfuse the muscular layer of the coronary artery, lead to the bleed. (wikipedia.org)
There is an inverse correlation between the amount of vasa vasorum present in regions of the coronary artery and the likelihood of an area being affected by a SCAD. (wikipedia.org)
Given the demographics of SCAD, it is important to maintain a high index of suspicion for the condition in otherwise low-risk women presenting with symptoms of acute coronary syndrome. (wikipedia.org)
Spontaneous coronary artery dissection (SCAD) is a rare condition requiring specialized diagnosis and treatment. (massgeneral.org)
Spontaneous coronary artery dissection (SCAD) is a rare condition that occurs when a tear forms in one or more blood vessels of the heart, which can slow or block blood flow to the heart and cause a heart attack. (massgeneral.org)
Coronary artery dissection can be either spontaneous, and in this case it is called spontaneous coronary artery dissection ( SCAD ) or secondary to other conditions. (wikidoc.org)
SCAD (Spontaneous coronary artery dissection - tear in the arterial wall that is not related to trauma) is an under-diagnosed and poorly understood condition that mostly affects young women without common cardiovascular risk factors, and can result in heart attack and death. (vchri.ca)
It will also improve the diagnosis of SCAD on coronary angiography by participating clinicians, and provide guidance on investigating predisposing conditions. (vchri.ca)
Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndromes in young otherwise healthy patients with a striking predilection for the female gender. (uncg.edu)
The review is illustrated with two SCAD patients who had a recurrence of a spontaneous dissection in another artery within a few days after the initial event. (uncg.edu)
Through an autopsy, Judy's devastated family learned she died from Spontaneous Coronary Artery Dissection (SCAD), a cause of a heart attack they never knew existed. (scadresearch.org)
SCAD Research depends on our sponsors to further education and research into Spontaneous Coronary Artery Dissection (SCAD). (scadresearch.org)
His experiences will help to raise awareness about Spontaneous Coronary Artery Dissection and make a huge contribution to SCAD education and hopefully better understanding of the condition. (m4rd.org)
Background: Spontaneous coronary artery dissection (SCAD) is an infrequently recognized but potentially fatal cause of acute coronary syndrome (ACS) that disproportionately affects women. (elsevierpure.com)
The purpose of this research is to compare sympathetic function (flight or fight system), arterial structure and mechanics of participants with history of spontaneous coronary artery dissection (SCAD) to age and sex matched control participants. (mayo.edu)
The researchers are trying to see whether contrast-enhanced ultrasonography, shear wave elastography, strain imaging, and 3-D volume ultrasonography improves arterial wall visualization and identifies arterial elastic properties among individuals with fibromuscular dysplasia (FMD), atherosclerosis, personal history of spontaneous coronary artery dissections (SCAD), or personal history of segmental arterial mediolysis (SAM) that may be different compared to those without the aforementioned conditions. (mayo.edu)
Spontaneous coronary artery dissection (SCAD) is defined as the separation of the walls of the coronary artery. (pearls4peers.com)
SCAD is often associated with acute chest pain with presentations ranging from acute coronary syndrome (ACS) to sudden cardiac death. (pearls4peers.com)
Among many risk factors, myocardial infarction in younger women and the absence of traditional cardiovascular risk factors or lack of typical atherosclerotic lesions in coronary arteries should be potential flags for the possibility of SCAD. (pearls4peers.com)
Spontaneous coronary artery dissection (SCAD) is frequently reported as a disorder that primarily affects women without risk factors for cardiovascular disease. (biomedcentral.com)
In this report, we presented a rare case of pregnancy-associated SCAD in a young woman that occurred in multiple coronary arteries within a short period. (biomedcentral.com)
Spontaneous coronary artery dissection (SCAD) is defined as an epicardial coronary artery dissection that is not associated with atherosclerosis or trauma and not iatrogenic [ 1 ]. (biomedcentral.com)
Spontaneous coronary artery dissection (SCAD) is an underdiagnosed entity of acute coronary syndrome (ACS). (pcronline.com)

Click here to view angiography examples of coronary artery dissection. (wikidoc.org)
1,4 Diagnosis is typically accomplished with coronary angiography and, increasingly, newer modalities such as optical coherence tomography, intravascular ultrasound, and cardiac CT angiography. (pearls4peers.com)
Coronary angiography showed critical stenosis of the left main coronary artery, due to extrinsic compression, and extensive dissection of the left coronary tree. (siftdesk.org)
The existing wide option of coronary angiography allowed the first analysis of SDCA.4 Case Record Individual AVT, 63-years old, cigarette smoker, with hypertension and dyslipidemia performed ergometric check for cardiovascular risk stratification. (cancer8.info)
Because of this, it was made a decision to perform evaluation by coronary angiography. (cancer8.info)
Individual underwent angiography of coronary arteries about 8 weeks after the analysis of SDCA that just demonstrated multivessel atherosclerotic disease, with significant reduced amount of the lumen in aDA also to a lesser degree in the lumen of the proper coronary artery (RCA) (Number 2). (cancer8.info)
At coronary angiography, the first injection in the left coronary artery revealed normal coronary arteries [Figure 1]a and b. (heartviews.org)
Coronary artery dissection is a rare but potentially catastrophic complication of coronary angiography. (heartviews.org)
All participants had de novo coronary calcifications graded as severe by core laboratory assessment, with a mean calcified length of 47.9 mm by quantitative coronary angiography and a mean calcium angle and thickness of 292.5 degrees and 0.96 mm by optical coherence tomography. (medscape.com)
Only one-third of the MIs were clinically relevant by the Society for Coronary Angiography and Intervention definition. (medscape.com)

The initial conservative management and then intravascular ultrasound-guided primary percutaneous coronary intervention (PCI) were adopted to achieve optimal results of revascularization in affected coronary arteries and avoid potential risks for PCI-associated complications. (biomedcentral.com)
The initial conservative management and PCI with multiple stent implantations were successfully implemented to achieve optimal results of revascularization in coronary arteries. (biomedcentral.com)
A heart attack (also called myocardial infarction or MI) happens when blood flow from the coronary arteries to the heart is reduced or blocked completely. (emedicinehealth.com)
The main cause of most heart attacks is coronary artery disease , a condition that develops over time in which plaque builds up along on the walls of the coronary arteries and narrows the channels through which blood flows. (emedicinehealth.com)
Stents for coronary arteries are expandable wire mesh cylinders that help hold stenotic areas open. (msdmanuals.com)

Management and long-term prognosis of spontaneous coronary artery dissection. (pearls4peers.com)
The prognosis of spontaneous coronary artery dissection is uncertain and optimal treatment is unknown. (ox.ac.uk)

When should I suspect spontaneous coronary artery dissection in my patient with chest pain? (pearls4peers.com)

Also the results of bypass surgery were improved by the use of arterial grafts [ 7 ] and percutaneous coronary interventions (PCI) have been made more effective through the introduction of stents, particularly drug-eluting stents. (medscape.com)
Los aneurismas saculares son la variante más común y tienden a formarse en los puntos de ramificación arterial en el POLÍGONO DE WILLIS en la base del encéfalo. (bvsalud.org)

In this trial, investigators aimed to evaluate the performance of a sirolimus-coated balloon to treat coronary lesions. (icrjournal.com)
And we collected a number of 73 patients where roughly two thirds of the lesions the dissection left were type A and one third type B with only few type C dissections. (icrjournal.com)
Intravascular lithotripsy proved highly effective, safe, and user friendly as an adjunct to stenting for severely calcified coronary lesions at 30 days of follow-up in the pivotal Disrupt CAD III study aimed at gaining U.S. regulatory approval. (medscape.com)
In so doing, the intravascular lithotripsy device developed by Shockwave Medical successfully addressed one of the banes of contemporary interventional cardiology: heavily calcified coronary lesions. (medscape.com)
Severely calcified coronary lesions complicate percutaneous coronary intervention. (medscape.com)
Intravascular lithotripsy can improve the results of PCI of calcified coronary lesions with a low rate of periprocedural complications. (frontiersin.org)
Treatment of calcified coronary lesions with IVL in a "real-world" setting can be performed with high success, low rate of procedural complications, and an acceptable MACEs rate. (frontiersin.org)
Up to 30% of patients undergoing percutaneous coronary intervention (PCI) have calcified lesions ( 1 ). (frontiersin.org)
Several technological developments have been introduced to aid in the treatment of severely calcified coronary lesions. (frontiersin.org)
The aim of this study was to evaluate the outcome of IVL-facilitated PCI in an all-comers population with calcified coronary lesions, focusing on the short- and long-term results related to different uses of IVL in the "real-world" practice. (frontiersin.org)
This retrospective, observational study included consecutive patients with calcified coronary lesions treated with IVL from December 31, 2018 to December 31, 2020 at the Centro Cardiologico Monzino, University of Milan, Italy. (frontiersin.org)

She successfully underwent emergency aorto-coronary bypass graft surgery and was discharged 6 days later. (heartviews.org)
Management includes conservative treatment, coronary stenting, or coronary artery bypass graft surgery. (heartviews.org)
10 dissection in coronary artery bypass was complicated by severe left-sided grafting. (who.int)
[ 4 ] Three years later René Favoloro performed the first successful coronary bypass operation using the saphenous vein. (medscape.com)

Here we present an unusual case of a patient who sustained a right coronary artery dissection and associated acute myocardial infarction following a motor vehicle crash. (heartviews.org)

Aortic dissection can be rapidly fatal, with many patients dying before presentation to the emergency department (ED) or before diagnosis is made in the ED. (medscape.com)
The most common diagnosis in providers' differential was acute coronary syndrome (ACS). (elsevierpure.com)
We report the case of a 45-yr-old-male referred to our hospital with diagnosis of type A aortic dissection. (siftdesk.org)
Diagnosis can be made based on patient history, symptoms, electrocardiography findings, and cardiac biomarkers, which delineate between ST elevation myocardial infarction and non-ST elevation acute coronary syndrome. (aafp.org)

Instead, the comparator group selected under regulatory guidance was comprised of patients who had received orbital atherectomy for severe coronary calcifications in the earlier, similarly designed ORBIT II trial, which led to FDA marketing approval of that technology. (medscape.com)

Coronary artery dissection is a rare cause of acute coronary syndrome and sudden death . (wikidoc.org)
Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome - a single-centre Australian experience. (pearls4peers.com)

Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: a report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. (pearls4peers.com)
Infarct extent Acute myocardial infarction is myocardial necrosis resulting from acute obstruction of a coronary artery. (msdmanuals.com)

Manifestations and patterns of more severe cardiac injuries may include myocardial contusion, hemorrhage, simple or complex arrhythmias, myocardial infarction, septal and/or free wall ruptures, valvular pathologies, ventricular aneurysm, and even coronary artery thrombosis. (heartviews.org)

I am a clinical cardiologist, vascular medicine specialist, and grant-funded scientist caring for individuals with aortic and extra-aortic aneurysms and dissections, spontaneous coronary artery dissection, fibromuscular dysplasia, carotid artery disease, renal artery stenosis, and peripheral artery disease, in addition to all general cardiology care. (weillcornell.org)

Percutaneous coronary interventions (PCI) include percutaneous transluminal coronary angioplasty (PTCA) with or without stent insertion. (msdmanuals.com)

We're talking about the sub-analysis of the largest study ever done on drug coated balloons addressing the safety and the efficacy of a sirolimus-coated balloon in a broad clinical and lesion type syndications for coronary artery disease. (icrjournal.com)
The key finding is quite reassuring because we analysed and we compared the outcome at one year of all of the patients left with a dissection to the, not the vessel disease subgroup of the, of the study. (icrjournal.com)
The ACC/AHA guidelines continue to emphasize the importance of primary prevention of ACS by decreasing coronary artery disease risk factors, including hypertension, hypercholesterolemia, diabetes mellitus, and smoking. (aafp.org)
1 Family history of coronary artery disease is also a risk factor. (aafp.org)
6 The atherosclerotic cardiovascular disease risk estimator is available online and in mobile app format at http://my.americanheart.org/cvrisk calculator and at http://www.cardiosource.org/en/Science-And-Quality/Practice-Guidelines-and-Quality-Standards/2013-Prevention-Guideline-Tools.aspx . (aafp.org)
Nearly 10,000 people died in 2019 from aortic aneurysms or dissections and nearly 60% were men, according to the U.S. Centers for Disease Control and Prevention . (upi.com)

An aortic aneurysm is a weakened or bulging area in the aorta that can lead to either rupture or dissection. (upi.com)

So we collected all of the dissections type A, B and C left after sirolimus-coated balloon angioplasty in the registry. (icrjournal.com)
This type of dissection, which will lead for sure to a reduction in the over stenting rate after sirolimus-coated balloon angioplasty. (icrjournal.com)
[ 5 ] Finally, in 1977 Andreas Grüntzig performed the first percutaneous coronary angioplasty in a patient with angina pectoris and a stenosis of the left anterior coronary artery. (medscape.com)

If percutaneous coronary intervention cannot be performed rapidly, patients with ST elevation myocardial infarction can be treated with fibrinolytic therapy. (aafp.org)
1 It is important for primary care physicians to be able to diagnose and manage acute coronary syndrome (ACS), which comprises two clinical presentations: ST elevation myocardial infarction (STEMI) and non-ST elevation acute coronary syndrome (NSTE-ACS). (aafp.org)

These changes lead to the dissection of the wall which restricts blood flow to the heart and causes symptoms. (wikipedia.org)
Despite the fact that an aortic dissection from a tear in the major artery known as the aorta killed actors John Ritter and Alan Thicke, many aren't familiar with the condition, or its symptoms and risk factors. (upi.com)

Subintimal dissection/reentry techniques can increase procedural success rates, but their subsequent clinical outcomes are poorly studied, and they appear to be associated with high rates of in-stent restenosis and repeat target lesion revascularization. (capbuster.com)
So, if you have a fast flow and the dissection doesn't pave your coronary artery this is the main clinical and technical message that arise from EASTBOURNE dissection. (icrjournal.com)
The SDCA is definitely a uncommon event, with around occurrence of 0.04% to 0.2% of coronary angiographies.1,2 Sudden loss of life may be the clinical demonstration in 50% of instances. (cancer8.info)
Treatment of spontaneous coronary dissection with drug-eluting stents--late clinical, angiographic and IVUS follow up. (ox.ac.uk)
Family physicians need to identify and mitigate risk factors early, as well as recognize and respond to acute coronary syndrome events quickly in any clinical setting. (aafp.org)
Rapid reperfusion with primary percutaneous coronary intervention is the goal with either clinical presentation. (aafp.org)

We have more room to improve in the prevention and management of aortic dissections," study author Dr. Salik Nazir, an interventional cardiology fellow at Baylor College of Medicine in Houston, said when the study came out. (upi.com)
Equally as important is seeking care, whenever possible, at a medical center with specialized, comprehensive services in treating aortic dissections. (upi.com)

[ 1 ] Cardiovascular end-organ damage may include myocardial ischemia/infarction, acute left ventricular dysfunction, acute pulmonary edema, and/or aortic dissection. (medscape.com)
Revascularization is often reserved for those with hemodynamic instability, persistent ischemia, sustained ventricular tachycardia or fibrillation, or left main dissection. (pearls4peers.com)
The proper coronary artery got great caliber, tortuous 957485-64-2 supplier dissection picture diminishing proximal, middle and distal third relating to the origin from the Rabbit Polyclonal to PKC delta (phospho-Ser645) posterior and downward ventricular branches (Number 1). (cancer8.info)
Open up in another window Number 1 The tortuous dissection picture diminishing proximal, middle and distal third (I) relating to the origin from the posterior and downward ventricular branches. (cancer8.info)

After administration with 180 mg ticagrelor, the timely primary percutaneous coronary intervention (PCI) was implemented to this patient. (biomedcentral.com)

This study aims to describe the outcome of intravascular lithotripsy (IVL) when used with different indications and to assess the short- and long-term outcomes of IVL-facilitated percutaneous coronary intervention (PCI). (frontiersin.org)

The patient underwent percutaneous coronary intervention in which four intracoronary stents were placed with a satisfactory outcome. (siftdesk.org)

That's dissection, which can either lead to rupture of the aorta or decreased blood flow to organs, according to the NLM. (upi.com)
Type A dissections must be treated immediately because they can cause failure of the aortic valve, heart attack or a rupture that can fill the sac around the heart with blood. (upi.com)

Patel A, Arabi AR, Alkindi F. Catheter-induced spiral dissection of the left main coronary artery. (heartviews.org)
On the following injection, a coronary dissection cap appeared at the tip of the catheter [Figure 2]a, which extended antegradely on subsequent injections [Figure 2]b. (heartviews.org)
Boyle AJ, Chan M, Dib J, Resar J. Catheter-induced coronary artery dissection: Risk factors, prevention and management. (heartviews.org)
Awadalla H, Salloum JG, Smalling RW, Sdringola S. Catheter induced dissection of the left main coronary artery with and without extension to the aortic root: A report of two cases and a review of the literature. (heartviews.org)
The guiding catheter is intended to be used in the coronary or peripheral vascular system. (medtronic.com)
A guiding catheter is inserted into a large peripheral artery and threaded to the appropriate coronary ostium. (msdmanuals.com)

Chest pain in acute coronary syndrome versus aortic dissection? (upi.com)
Chest pain in acute coronary syndrome can be caused by a heart attack and unstable angina, but it is a term for conditions that suddenly block blood flow to the heart, according to the AHA . (upi.com)
Four patients of the placebo group had a dissection requiring PCI and four were withdrawn during follow-up, two because of a chest pain admission, one for a COPD exacerbation with right sided heart failure, and one for bilateral leg pain, all four of whom would likely have had worse exercise performance than average. (medscape.com)

Percutaneous coronary intervention (PCI) carries a risk of worsening the dissection or causing additional dissections in such patients 1 . (pearls4peers.com)
So we compare these patients with a patients left with a dissection and what we found at one year follow-up is that there was no differences in terms of safety and efficacy measures of outcome, meaning MACE, TLR, bleedings and so on. (icrjournal.com)
And importantly we had zero cases of myocardial infarction in the dissections cohort of patients. (icrjournal.com)
therefore, these patients should be treated with medical management if they are at low risk of coronary events or if percutaneous coronary intervention cannot be performed. (aafp.org)

They're associated with increased risks of dissection, perforation, and periprocedural MI. (medscape.com)
There was 1 case each of dissection, abrupt closure, and perforation, but no instances of slow flow or no reflow at the procedure's end. (medscape.com)

The proper coronary artery (aCD) includes a heavy wall structure dish and calcified resource and decreased lumen around 50% in the distal end (II/IV) Dialogue The event of SDCA is definitely considerably higher in youthful individuals, and its occurrence, etiology and pathophysiology stay unclear.1,5 However, some authors propose mechanisms to describe the pathogenesis of SDCA. (cancer8.info)

In this report, we describe an exercise-induced coronary artery dissection treated medically with an aggressive anticoagulant, antiaggregant and beta-blocker therapy. (consensus.app)

The most common presentation of blunt cardiac injury is benign arrhythmia (e.g., sinus tachycardia), followed in decreasing frequency by increasingly severe arrhythmias and finally physically evident injuries to the heart muscle, the conducting system, cardiac valves, and/or coronary vessels. (heartviews.org)

Anatomy14

Organisms2

Diseases40

Chemicals and Drugs14

Analytical, Diagnostic and Therapeutic Techniques and Equipment63

Phenomena and Processes16

Disciplines and Occupations1

Information Science4

Health Care25

SCAD27

Angiography10

Arteries5

Prognosis of Spontaneous Coronary Artery Dissection2

Suspect spontaneous coronary artery dissection1

Arterial2

Lesions11

Bypass4

Right Corona1

Diagnosis4

Severe coronary1

Cause of acute coronary2

Acute myocardial2

Thrombosis1

Fibromuscular1

Interventions1

Disease6

Aneurysm1

Angioplasty3

Elevation Myocardial2

Symptoms2

Clinical6

Aortic dissections2

Ventricular4

Primary1

Intravascular1

Underwent1

Rupture2

Catheter6

Chest3

Patients4

Perforation2

Lumen1

Medically1

Arrhythmia1