ABSTRACT
Spontaneous coronary artery dissection is an underdiagnosed entity. It has been recognized as an important cause of acute coronary syndrome and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. This document provides an exhaustive review of the pathophysiology and etiology of this disease. In addition, we describe the main clinical characteristics of these patients, the diagnostic tests that must be performed, and the most appropriate treatment.
Subject(s)
Acute Coronary Syndrome , Coronary Vessel Anomalies , Vascular Diseases , Acute Coronary Syndrome/diagnosis , Coronary Vessel Anomalies/diagnostic imaging , Dissection , Female , Humans , Vascular Diseases/diagnosisABSTRACT
La disección coronaria espontánea es una entidad infradiagnosticada, que ha resultado ser una causa importante de síndrome coronario agudo y muerte súbita, en particular, en mujeres jóvenes y personas con pocos factores de riesgo cardiovascular convencionales. Este documento ofrece una revisión actualizada sobre la fisiopatología y etiología de esta enfermedad; se describen las principales características clínicas de estos pacientes, así como las pruebas diagnósticas que se deben realizar y el tratamiento más adecuado (AU)
Spontaneous coronary artery dissection is an underdiagnosed entity. It has been recognized as an important cause of acute coronary syndrome and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. This document provides an exhaustive review of the pathophysiology and etiology of this disease. In addition, we describe the main clinical characteristics of these patients, the diagnostic tests that must be performed, and the most appropriate treatment (AU)
Subject(s)
Humans , Acute Coronary Syndrome/diagnosis , Coronary Vessel Anomalies/diagnostic imaging , Vascular Diseases/diagnosis , Aortic DissectionABSTRACT
Spontaneous coronary artery dissection is an underdiagnosed entity. It has been recognized as an important cause of acute coronary syndrome and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. This document provides an exhaustive review of the pathophysiology and etiology of this disease. In addition, we describe the main clinical characteristics of these patients, the diagnostic tests that must be performed, and the most appropriate treatment.
