Open AccessSpontaneous Coronary Artery Dissection
Author(s) -
Н. С. Жукова,
Р. М. Шахнович,
И. Н. Меркулова,
Т. С. Сухинина,
Д. В. Певзнер,
I I Staroverov
Publication year - 2019
Publication title -
kardiologiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.159
H-Index - 16
eISSN - 2412-5660
pISSN - 0022-9040
DOI - 10.18087/cardio.2019.9.10269
Subject(s) - scad , medicine , acute coronary syndrome , dissection (medical) , cardiology , coronary artery disease , artery dissection , troponin , disease , artery , clinical practice , postpartum period , coronary angiography , pregnancy , intensive care medicine , radiology , myocardial infarction , physical therapy , genetics , biology
During several recent decades spontaneous coronary artery dissection (SCAD) has been known as one of causes of development of acute coronary syndrome (ACS). It has been assumed that this condition is extremely rarely met and is associated with pregnancy and postpartum period. The use in clinical practice of high sensitivity troponin, coronary angiography (CAG) in early period of ACS, in conjunction with the growing awareness of doctors about this pathology led to a revision of the viewse on prevalence of the disease. At present SCAD is considered as one of the causes of ACS in young and middle-aged women. In this review we present results of studies of pathogenesis, diagnostics, and treatment of SCAD, describe various angiographic types of this disease, and discuss problems of choice of optimal strategy of management of patients with SCAD.