The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection (SCAD) is a relatively rare and frequently misdiagnosed disease. The current knowledge of its pathophysiology and management is limited and based mostly on hypotheses. We present a patient with recurrent SCAD whose condition worsened soon after discontinuation...

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Main Authors: Andres Cordova Sanchez MC, Emad Mogadam MD, Dana Aiello MD
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096221097541
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author Andres Cordova Sanchez MC
Emad Mogadam MD
Dana Aiello MD
author_facet Andres Cordova Sanchez MC
Emad Mogadam MD
Dana Aiello MD
author_sort Andres Cordova Sanchez MC
collection DOAJ
description Spontaneous coronary artery dissection (SCAD) is a relatively rare and frequently misdiagnosed disease. The current knowledge of its pathophysiology and management is limited and based mostly on hypotheses. We present a patient with recurrent SCAD whose condition worsened soon after discontinuation of anticoagulation, prompting us to question the current management and review the evidence about pathophysiology, anticoagulation, and antiplatelet therapy.
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spelling doaj.art-0168d42d6e6545f48081fb773a572c092022-12-22T02:11:21ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962022-05-011010.1177/23247096221097541The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery DissectionAndres Cordova Sanchez MC0Emad Mogadam MD1Dana Aiello MD2Department of Medicine, SUNY Upstate Medical University, Syracuse, NY, USADivision of Cardiology, SUNY Upstate Medical University, Syracuse, NY, USADivision of Cardiology, SUNY Upstate Medical University, Syracuse, NY, USASpontaneous coronary artery dissection (SCAD) is a relatively rare and frequently misdiagnosed disease. The current knowledge of its pathophysiology and management is limited and based mostly on hypotheses. We present a patient with recurrent SCAD whose condition worsened soon after discontinuation of anticoagulation, prompting us to question the current management and review the evidence about pathophysiology, anticoagulation, and antiplatelet therapy.https://doi.org/10.1177/23247096221097541
spellingShingle Andres Cordova Sanchez MC
Emad Mogadam MD
Dana Aiello MD
The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection
Journal of Investigative Medicine High Impact Case Reports
title The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection
title_full The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection
title_fullStr The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection
title_full_unstemmed The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection
title_short The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection
title_sort conundrum of anticoagulation and antiplatelet therapy in spontaneous coronary artery dissection
url https://doi.org/10.1177/23247096221097541
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