NYMC Faculty Publications

Current Challenges in Treatment and Management of Spontaneous Coronary Artery Dissection

Author Type(s)

Resident/Fellow, Faculty

DOI

10.1080/21548331.2023.2268012

Journal Title

Hospital Practice

First Page

192

Last Page

198

Document Type

Article

Publication Date

10-1-2023

Department

Medicine

Abstract

Though an infrequent cause of acute coronary syndrome, spontaneous coronary artery dissection is an increasingly recognized cardiovascular condition predominantly seen in middle-aged females. Its pathophysiology is defined by separation of coronary arterial wall layers which cause acute coronary syndrome-like presentations with relatively high recurrence rates. Overall, there is a lack of reported literature and understanding of the short- and long-term management for spontaneous coronary artery dissection. Therapeutic approaches include, but are not limited to, percutaneous coronary intervention, surgical revascularization, antithrombotic therapy, and beta-blocker therapy. There is a significant absence of randomized control trials to help guide both interventional and medical management for spontaneous coronary artery dissection. This review is aimed to review the current literature regarding risk factors and considerations for the short- and long-term management of spontaneous coronary artery dissection.

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