Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young
Abstract Spontaneous coronary artery dissection (SCAD) is a cause of acute coronary syndrome that frequently goes undiagnosed due to its rarity and variable presentation. Additionally, patients with SCAD are frequently young and relatively healthy; factors that may inadvertently lower clinical suspi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Online Access: | https://doi.org/10.1002/emp2.13000 |
| _version_ | 1827860578884911104 |
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| author | Mary Starrs Peter Acker |
| author_facet | Mary Starrs Peter Acker |
| author_sort | Mary Starrs |
| collection | DOAJ |
| description | Abstract Spontaneous coronary artery dissection (SCAD) is a cause of acute coronary syndrome that frequently goes undiagnosed due to its rarity and variable presentation. Additionally, patients with SCAD are frequently young and relatively healthy; factors that may inadvertently lower clinical suspicion of serious pathology, thereby causing delayed or missed diagnosis and inadequate management. Our case report describes a young female who presents after cardiac arrest with inconclusive initial labs and diagnostic tests who was ultimately diagnosed with SCAD. Additionally, we briefly review the pathogenesis and risk factors, as well as the diagnostic and management recommendations for SCAD. |
| first_indexed | 2024-03-12T13:26:11Z |
| format | Article |
| id | doaj.art-2834f2f840174f3280e5057127127fcd |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-03-12T13:26:11Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-2834f2f840174f3280e5057127127fcd2023-08-25T05:44:31ZengWileyJournal of the American College of Emergency Physicians Open2688-11522023-08-0144n/an/a10.1002/emp2.13000Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the youngMary Starrs0Peter Acker1Department of Emergency Medicine Stanford University Medical Center Palo AltoCaliforniaUSADepartment of Emergency Medicine Stanford University Medical Center Palo AltoCaliforniaUSAAbstract Spontaneous coronary artery dissection (SCAD) is a cause of acute coronary syndrome that frequently goes undiagnosed due to its rarity and variable presentation. Additionally, patients with SCAD are frequently young and relatively healthy; factors that may inadvertently lower clinical suspicion of serious pathology, thereby causing delayed or missed diagnosis and inadequate management. Our case report describes a young female who presents after cardiac arrest with inconclusive initial labs and diagnostic tests who was ultimately diagnosed with SCAD. Additionally, we briefly review the pathogenesis and risk factors, as well as the diagnostic and management recommendations for SCAD.https://doi.org/10.1002/emp2.13000 |
| spellingShingle | Mary Starrs Peter Acker Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young Journal of the American College of Emergency Physicians Open |
| title | Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young |
| title_full | Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young |
| title_fullStr | Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young |
| title_full_unstemmed | Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young |
| title_short | Spontaneous coronary artery dissection: An uncommon cause of cardiac arrest in the young |
| title_sort | spontaneous coronary artery dissection an uncommon cause of cardiac arrest in the young |
| url | https://doi.org/10.1002/emp2.13000 |
| work_keys_str_mv | AT marystarrs spontaneouscoronaryarterydissectionanuncommoncauseofcardiacarrestintheyoung AT peteracker spontaneouscoronaryarterydissectionanuncommoncauseofcardiacarrestintheyoung |