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BackgroundClinical practice guidelines for the management and convalescence of patients with spontaneous coronary artery dissection (SCAD) have yet to be developed. years) were purposively selected from 5 large tertiary care hospitals. years) were purposively selected from 5 large tertiary care hospitals. women; mean age, 53.2 years)
Background Contemporary management of spontaneous coronary artery dissection (SCAD) is still controversial. Results The systematic review included 13 observational studies evaluating 1,801 patients with SCAD. Results The systematic review included 13 observational studies evaluating 1,801 patients with SCAD. Approximately 48.5%
The final diagnosis was spontaneous coronary artery dissection (SCAD) starting in the mid LAD and continuing distally where it wraps around the apex. SCAD wasn't on my differential per se , but in retrospect it should have been. Most patients presenting with SCAD report a preceding emotional or physical stressor.
Background Spontaneous coronary artery dissection (SCAD) and Takotsubo syndrome (TTS) constitute two common causes of nonatherosclerotic acute cardiac syndrome particularly frequent in women. Results A total of 289 SCAD and 150 TTS patients were included; 89% were women. In-hospital events (43.3% vs. 7.1%, HR 5.3,
Post by Smith, with short article by Angie Lobo ( [link] ), a third year intermal medicine resident at Abbott Northwestern Hospital Case A 30-something woman with no past history, who is very fit and athletic, presented with 1.5 It was late evening and the patient will be in the hospital overnight with a potentially very unstable LAD lesion.
Final Diagnosis: NSTEMI She survived the hospitalization and was discharged home. Currently, SCAD is a diagnosis that can only be established emergently in the cath lab with angiography. If SCAD is not fully occlusive and causing ongoing myocardial damage, then many times it may be managed medically. Is there STEMI?
There may be no better study to symbolize the dysfunction that has invaded cardiology than the VIRGO trial, a study examining the outcomes of young patients (18-55) presenting to the hospital with a heart attack. In the modern era patients who survive a cardiac event to present to the hospital generally do well.
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