Letter to the EditorManagement and outcome of spontaneous coronary artery dissection: Conservative therapy versus revascularization
References (9)
- et al.
Spontaneous coronary artery dissection. Long-term follow-up of a large series of patients prospectively managed with “conservative” therapeutic strategy
J Am Coll Cardiol Intv
(2012) - et al.
Idiopathic spontaneous coronary artery dissection: incidence, diagnosis and treatment
Int J Cardiol
(2005) - et al.
Clinical perspectives of the primary spontaneous coronary artery dissection
Int J Cardiol
(2005) - et al.
Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients
Eur J Cardiothorac Surg
(2009)
Cited by (24)
Meta-regression analysis on the impact of medical therapy on long-term outcome in spontaneous coronary artery dissection
2023, IJC Heart and VasculatureInvasive versus conservative management in spontaneous coronary artery dissection: A meta-analysis and meta-regression study
2021, Hellenic Journal of CardiologyCitation Excerpt :The best conservative management remains unclear in the setting of SCAD as no studies have compared different pharmacological strategies to date. Our study shows that acetylsalicylic acid is most commonly used in this scenario and clopidogrel is mostly favored over potent P2Y12 inhibitors when a dual antiplatelet regimen is commenced.13,15,17,21,26,28-30,34-37 Dual antiplatelet therapy with acetylsalicylic acid and clopidogrel seems appropriate in the acute phase independent from the treatment strategy; because of the frequent presence of a luminal thrombus in the dissected coronary artery demonstrated by optical coherence tomography studies.1,11,21,29
Systematic review and meta-analysis of the clinical characteristics and outcomes of spontanous coronary artery dissection
2021, International Journal of CardiologyCitation Excerpt :The literature search yielded 1600 publications on SCAD. After title and abstract evaluation, full text revision of the remaining 106 articles excluded 87 for a lack of adequate follow-up data, leaving 19 studies for inclusion in the final analysis (Supplementary Fig. 1) [4–22]. Table 1 shows the prevalence meta-analyses for clinical characteristics from the included studies.
The value of plasma fibrillin-1 level in patients with spontaneous coronary artery dissection
2020, International Journal of CardiologySafety and efficacy of drug eluting stents in patients with spontaneous coronary artery dissection
2017, International Journal of CardiologyCitation Excerpt :Management of SCAD is largely dependent from clinical presentation and remains debated [9]. Previous reports have demonstrated satisfactory outcomes with conservative management especially for non-occlusive SCAD or for dissection not involving proximal coronary segments [7,21]. However the need of emergent revascularization for ongoing ischemia may reach one third of the cases [6,7,11].