Spontaneous Coronary Artery Dissection
Overview
Spontaneous coronary artery dissection (SCAD) is under-diagnosed and the true prevalence is underestimated. Unfortunately, SCAD is frequently missed on coronary angiogram since the arterial wall is not imaged with this test. Intracoronary imaging with optical coherence tomography or intravascular ultrasound improves the diagnosis of SCAD. SCAD is also frequently associated with predisposing arteriopathy and precipitating stressors. Management with revasularization is challenging, such that conservative therapy is typically recommended for stable patients, especially since the majority of SCAD lesions heal spontaneously. This webcast will provide an overview of the contemporary literature on SCAD.
Key References
1. Saw J, Aymong E, Buller CE, Starovoytov A, Ricci D, Robinson S, Vuurmans T, Gao M, Humphries K, Mancini GBJ. Spontaneous Coronary Artery Dissection: Association with Predisposing Arteriopathies and Precipitating Stressors, and Cardiovascular Outcomes. Circ Cardiovasc Interv 2014;7(5):645-55
2. Saw J. Coronary angiogram classification of Spontaneous Coronary Artery Dissection. Cathet Cardiovasc Interv 2014;84(7):1115-22
3. Saw J. Spontaneous coronary artery dissection. Can J Cardiol 2013 Sep;29(9):1027-33
4. Vijayaraghavan R, Verma S, Gupta N, Saw J. Pregnancy-Related Spontaneous Coronary Artery Dissection. Clinician Update. Circulation 2014;130(21):1915-20
Educational Objectives
- Spontaneous coronary artery dissection (SCAD) definition & epidemiology
- Diagnosis of SCAD on angiography and intracoronary imaging
- Predisposing arteriopathy and precipitating stressors with SCAD
- Management of SCAD
Target Audience
- Interventional cardiologists
- Electrophysiologists
- Cardiologists
- General internist and family physicians
