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Spontaneous coronary artery dissection with cardiogenic shock: How frequent is it? How should we treat it?
Author(s) -
Smith Timothy,
Henry Timothy D.
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29449
Subject(s) - cardiogenic shock , medicine , scad , cardiology , artery dissection , revascularization , shock (circulatory) , acute coronary syndrome , circulatory system , population , myocardial infarction , artery , coronary angiography , environmental health
Key Points Spontaneous Coronary Artery Dissection (SCAD) may represent 1–2% of all STEMI and 20–25% of STEMI in women <50. Cardiogenic shock is relatively low (2–3%) in the overall SCAD population but may occur in up to 25% of SCAD patients with STEMI. The ideal treatment for a SCAD patient with cardiogenic shock requires thoughtful patient specific‐management decisions in regards to both the choice of revascularization and the choice of mechanical circulatory support. When treated appropriately these patients have excellent long‐term outcome, with mortality lower than STEMI or cardiogenic shock related to atherosclerosis.