Ahmed Mohamed A, Hamra Mardi, Ali Mohamed, Abdullah Abdullah S, Arnous Samer, Kiernan Thomas J
Cardiology Department, University Hospital Limerick, Limerick, Ireland.
Future Cardiol. 2017 Nov;13(6):539-549. doi: 10.2217/fca-2017-0050. Epub 2017 Oct 24.
Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndrome in young patients. No clear factors exist to predict the natural history of the disease and the prognosis of the condition. Furthermore, current management practice of SCAD is based mainly on retrospective data and case series and clear management guidelines are lacking. In this article, we present a series of cases of patients with SCAD and we will discuss the different clinical presentations, the diagnostic approaches and the options of management of this cohort of patients. Our aim is to outline the challenges of diagnosis and management of this interesting and serious pathology.
自发性冠状动脉夹层（SCAD）是年轻患者急性冠状动脉综合征越来越常见的病因。目前尚无明确因素可预测该病的自然病程及病情预后。此外，SCAD目前的治疗实践主要基于回顾性数据和病例系列，缺乏明确的治疗指南。在本文中，我们展示了一系列SCAD患者的病例，并将讨论这组患者的不同临床表现、诊断方法及治疗选择。我们的目的是概述诊断和治疗这种有趣而严重的病理状况所面临的挑战。
