Atherosclerosis, SCAD and Ultrasound

A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Spontaneous coronary artery dissection Dissection of a coronary artery may occur in the context of atherosclerosis, or be iatrogennic during angiography or angioplasty. In the absence of these factors it is termed spontaneous coronary artery dissection ( SCAD ). A recent study found that SCAD causes almost 20% of STEMI in young women.

Chest Pain

Chest Pain SCAD STEMI Cardiogenic Shock

1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

MAY 19, 2020

The ways to tell for certain include intravascular ultrasound (to look for extra-luminal plaque with rupture) or "optical coherence tomography," something I am entirely unfamiliar with. The authors recommend using optical coherence tomography or intravascular ultrasound imaging in patients with evidence of nonobstructive CAD by angiogram.

Defibrillator

Defibrillator Circulation Plaque Cardiac Arrest

Cardiovascular Update

A young peripartum woman with Chest Pain

1 hour of CPR, then ECMO circulation, then successful defibrillation.

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