Article

Asymptomatic spontaneous coronary artery dissection.

Division of Cardiology, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Clinical Cardiology (impact factor: 2.15). 07/2010; 33(7):E40-2. DOI:10.1002/clc.20540
Source: PubMed

ABSTRACT Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia that could present as angina, acute myocardial infarction, or even sudden death. It occurs more commonly in women and it has been associated with autoimmune and collagen vascular diseases. The management and prognosis in these patients depend on the initial clinical presentation and the extent of dissection. In this article, we report 2 cases of asymptomatic SCAD that were diagnosed on routine preoperative evaluation. The management options and clinical implications are discussed.

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Keywords

asymptomatic SCAD
 
collagen vascular diseases
 
initial clinical presentation
 
management options
 
prognosis
 
rare cause
 
routine preoperative evaluation
 
SCAD
 
Spontaneous coronary artery dissection
 
sudden death
 
women
 

Habib A Dakik