Spontaneous coronary artery dissection: a clinically oriented narrative review

Quan Dang, Sonya Burgess, Peter J. Psaltis, Sarah Fairley, Jacqueline Saw, Sarah Zaman
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Abstract

Spontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndromes (ACS), with a higher incidence in younger female patients. It is also associated with pregnancy, delivery, and the post-partum period. Despite an exponential rise in the volume of SCAD-focused research and publications within the past decade, SCAD is still a poorly understood condition, with a paucity of randomised controlled trial data. This review discusses the pathophysiology, clinical presentation, diagnosis and management of SCAD alongside areas for future research.

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自发性冠状动脉夹层:以临床为导向的叙述性综述
自发性冠状动脉夹层(SCAD)是急性冠状动脉综合征(ACS)的重要病因,在年轻女性患者中发病率较高。它还与妊娠、分娩和产后有关。尽管在过去十年中,以 SCAD 为重点的研究和论文数量呈指数级增长,但人们对 SCAD 的了解仍然很少,随机对照试验数据也很少。本综述讨论了 SCAD 的病理生理学、临床表现、诊断和管理以及未来研究的领域。
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