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Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association.

Publication ,  Journal Article
Hayes, SN; Kim, ESH; Saw, J; Adlam, D; Arslanian-Engoren, C; Economy, KE; Ganesh, SK; Gulati, R; Lindsay, ME; Mieres, JH; Naderi, S; Shah, S ...
Published in: Circulation
May 8, 2018

Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary syndrome, myocardial infarction, and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. Patient-initiated research has spurred increased awareness of SCAD, and improved diagnostic capabilities and findings from large case series have led to changes in approaches to initial and long-term management and increasing evidence that SCAD not only is more common than previously believed but also must be evaluated and treated differently from atherosclerotic myocardial infarction. High rates of recurrent SCAD; its association with female sex, pregnancy, and physical and emotional stress triggers; and concurrent systemic arteriopathies, particularly fibromuscular dysplasia, highlight the differences in clinical characteristics of SCAD compared with atherosclerotic disease. Recent insights into the causes of, clinical course of, treatment options for, outcomes of, and associated conditions of SCAD and the many persistent knowledge gaps are presented.

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Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

May 8, 2018

Volume

137

Issue

19

Start / End Page

e523 / e557

Location

United States

Related Subject Headings

  • Vascular Diseases
  • United States
  • Treatment Outcome
  • Risk Factors
  • Risk Assessment
  • Prevalence
  • Pregnancy
  • Predictive Value of Tests
  • Percutaneous Coronary Intervention
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
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Hayes, S. N., Kim, E. S. H., Saw, J., Adlam, D., Arslanian-Engoren, C., Economy, K. E., … American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council, . (2018). Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation, 137(19), e523–e557. https://doi.org/10.1161/CIR.0000000000000564
Hayes, Sharonne N., Esther S. H. Kim, Jacqueline Saw, David Adlam, Cynthia Arslanian-Engoren, Katherine E. Economy, Santhi K. Ganesh, et al. “Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association.Circulation 137, no. 19 (May 8, 2018): e523–57. https://doi.org/10.1161/CIR.0000000000000564.
Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, et al. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation. 2018 May 8;137(19):e523–57.
Hayes, Sharonne N., et al. “Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association.Circulation, vol. 137, no. 19, May 2018, pp. e523–57. Pubmed, doi:10.1161/CIR.0000000000000564.
Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, Ganesh SK, Gulati R, Lindsay ME, Mieres JH, Naderi S, Shah S, Thaler DE, Tweet MS, Wood MJ, American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association. Circulation. 2018 May 8;137(19):e523–e557.

Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

May 8, 2018

Volume

137

Issue

19

Start / End Page

e523 / e557

Location

United States

Related Subject Headings

  • Vascular Diseases
  • United States
  • Treatment Outcome
  • Risk Factors
  • Risk Assessment
  • Prevalence
  • Pregnancy
  • Predictive Value of Tests
  • Percutaneous Coronary Intervention
  • Middle Aged