Spontaneous coronary artery dissection with cardiogenic shock: How frequent is it? How should we treat it?
Timothy SmithTimothy D HenryPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2021)
Spontaneous Coronary Artery Dissection (SCAD) may represent 1-2% of all STEMI and 20-25% of STEMI in women <50. Cardiogenic shock is relatively low (2-3%) in the overall SCAD population but may occur in up to 25% of SCAD patients with STEMI. The ideal treatment for a SCAD patient with cardiogenic shock requires thoughtful patient specific-management decisions in regards to both the choice of revascularization and the choice of mechanical circulatory support. When treated appropriately these patients have excellent long-term outcome, with mortality lower than STEMI or cardiogenic shock related to atherosclerosis.
Keyphrases
- coronary artery
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- pulmonary artery
- end stage renal disease
- newly diagnosed
- acute coronary syndrome
- coronary artery bypass grafting
- chronic kidney disease
- ejection fraction
- coronary artery disease
- cardiovascular disease
- polycystic ovary syndrome
- prognostic factors
- extracorporeal membrane oxygenation
- adipose tissue
- case report
- risk factors
- metabolic syndrome
- atrial fibrillation
- patient reported outcomes
- insulin resistance
- combination therapy
- pulmonary hypertension
- decision making
- patient reported