Recognition of acute myocardial infarction caused by spontaneous coronary artery dissection of first septal perforator.
Scott W SharkeyMesfer AlfadhelChristina ThalerDavid LinMeagan NowariakJoão L CavalcanteTimothy D HenryJacqueline SawPublished in: European heart journal. Acute cardiovascular care (2021)
First septal perforator SCAD events may be overlooked at initial angiography and mis-diagnosed as 'no culprit' MI. First septal perforator SCAD prevalence is likely greater than reported herein and dependent on local expertise and availability of CMR imaging. Spontaneous coronary artery dissection events may occur in intra-myocardial coronary arteries, approaching the resolution limits of invasive coronary angiography.
Keyphrases
- coronary artery
- breast reconstruction
- hypertrophic cardiomyopathy
- acute myocardial infarction
- pulmonary artery
- left ventricular
- high resolution
- optical coherence tomography
- risk factors
- computed tomography
- soft tissue
- percutaneous coronary intervention
- coronary artery disease
- heart failure
- single molecule
- atrial fibrillation
- fluorescence imaging
- aortic stenosis
- ejection fraction