Author + information
- Received April 10, 2016
- Revision received April 26, 2016
- Accepted May 3, 2016
- Published online July 19, 2016.
- aDivision of Cardiology, Vancouver General Hospital, Vancouver, British Columbia, Canada
- bBC Centre for Improved Cardiovascular Health, Vancouver, British Columbia, Canada
- ↵∗Reprint requests and correspondence:
Dr. Jacqueline Saw, Division of Cardiology, Vancouver General Hospital, 2775 Laurel Street, Level 9, Vancouver, BC, V5Z1M9, Canada.
Spontaneous coronary artery dissection (SCAD) is gaining recognition as an important cause of myocardial infarction, especially in young women. There has been a surge in the diagnosis of SCAD in recent years, presumably due to an increased use of coronary angiography, and the clinical availability and application of high-resolution intracoronary imaging. The improved recognition and diagnosis, together with increased publications and attention through social media, have considerably raised awareness of this condition, which was once believed to be very rare. Recent publications of moderate to large contemporary case series have helped elucidate the early natural history, presenting characteristics (clinical and angiographic), underlying etiology, management, and cardiovascular outcomes with this condition, thus providing observations and important clinical insights of value to clinicians managing this challenging and perplexing patient cohort. The aim of our review is to provide a comprehensive contemporary update of SCAD to aid health care professionals in managing these patients in both the acute and chronic settings.
Dr. Saw has received research grants and speaker honoraria from AstraZeneca; has received research grants and speaker honoraria and been a consultant, a member of the advisory board, and a proctor for Boston Scientific and St. Jude Medical; has received speaker honoraria from Sunovion; has been a member of the advisory board for Abbott Vascular; and has received research grants from Servier. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received April 10, 2016.
- Revision received April 26, 2016.
- Accepted May 3, 2016.
- 2016 American College of Cardiology Foundation