Emergency Medical Minute Podcast 680: Coronary Artery Dissection
Jun 15, 2021
04:01
Contributor: Adam Barkin, MD
Educational Pearls:
- Spontaneous coronary artery dissection (SCAD) is the most common cause of acute MI in women under 50 years old
- Risk factors include fibromuscular dysplasia, extreme exercise, stress, pregnancy, and recent birth
- Diagnosed in cath lab but medically managed and usually do not get a stent
- Treated with dual antiplatelet therapy and beta-blockers
References
Yip A, Saw J. Spontaneous coronary artery dissection-A review. Cardiovasc Diagn Ther. 2015;5(1):37-48. doi:10.3978/j.issn.2223-3652.2015.01.08
Janssen EBNJ, de Leeuw PW, Maas AHEM. Spontaneous coronary artery dissections and associated predisposing factors: a narrative review. Neth Heart J. 2019;27(5):246-251. doi:10.1007/s12471-019-1235-4
Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD
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