Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients

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dc.citation.issue1
dc.citation.volume18
dc.contributor.authorCade, Jamil Ribeiro [UNIFESP]
dc.contributor.authorSzarf, Gilberto [UNIFESP]
dc.contributor.authorSiqueira, Maria Eduarda Menezes de [UNIFESP]
dc.contributor.authorChaves, Aurea
dc.contributor.authorAndrea, Julio C. M.
dc.contributor.authorFigueira, Helio R.
dc.contributor.authorGomes Junior, Manuel Pereira Marques [UNIFESP]
dc.contributor.authorFreitas, Barbara P.
dc.contributor.authorMedeiros, Juliana Filgueiras [UNIFESP]
dc.contributor.authordos Santos, Marcio Ricardo
dc.contributor.authorFiorotto, Walter B.
dc.contributor.authorDaige, Augusto
dc.contributor.authorGoncalves, Rosaly
dc.contributor.authorCantarelli, Marcelo
dc.contributor.authorAlves, Claudia Maria Rodrigues [UNIFESP]
dc.contributor.authorEchenique, Leandro [UNIFESP]
dc.contributor.authorFabio, S. de Brito
dc.contributor.authorPerin, Marco A.
dc.contributor.authorBorn, Daniel [UNIFESP]
dc.contributor.authorHecht, Harvey
dc.contributor.authorCaixeta, Adriano [UNIFESP]
dc.coverageOxford
dc.date.accessioned2020-07-31T12:46:48Z
dc.date.available2020-07-31T12:46:48Z
dc.date.issued2017
dc.description.abstractAims We sought to present a series of 13 pregnancy-associated spontaneous coronary artery dissection (P-SCAD), their angiographic and multimodal imaging findings, acute phase treatment, and outcomes. Methods and results Between 2005 and 2015, 13 cases of P-SCAD were collected from a database of 11 tertiary hospitals. The mean age was 33.8 3.7 yearsen
dc.description.abstractmost patients had no risk factors for coronary artery disease, and the majority were multiparous. P-SCAD occurred during the puerperium in 12 patients with a median time of 10 days. Only one patient presented with P-SCAD in the 37th week of pregnancy, and she was the only patient who died in this series. Six patients (46%) presented with ST-segment elevation acute myocardial infarction (STEMI), six (46%) presented with non-STEM!, and one presented with unstable anginaen
dc.description.abstractone-third of women had cardiogenic shock. In 12 patients, the dissection involved the left anterior descending or circumflex artery, and it extended to the left main coronary artery in 6 patients. Intravascular ultrasound or optical coherence tomography helped to confirm diagnosis and guide treatment in 46% of cases. Seven women were managed clinicallyen
dc.description.abstractpercutaneous coronary intervention was performed in five cases, and coronary artery bypass grafting was performed in one patient Conclusion In these 13 cases of P-SCAD, clinical presentation commonly included acute myocardial infarction and cardiogenic shock. Multivessel dissections and involvement of the left coronary artery and left main coronary artery were highly prevalent. Clinicians must be aware of angiographic appearances of P-SCAD for prompt diagnosis and management in these high-risk patients.en
dc.description.affiliationUniv Fed Sa Paulo, Escola Paulista Med, Sao Paulo, Brazil
dc.description.affiliationHosp Israelita Albert Einstein, Sao Paulo, Brazil
dc.description.affiliationMt Sinai Med Ctr, New York, NY USA
dc.description.affiliationInst Dante Pazzanese Cardiol, Sao Paulo, Brazil
dc.description.affiliationClin Sao Vicenta, Rio De Janeiro, Brazil
dc.description.affiliationSanta Casa Misericordia Goiania, Goiania, Go, Brazil
dc.description.affiliationHosp Reg Mato Grosso, Mato Grosso, Brazil
dc.description.affiliationHosp Bandeirantes, Sao Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo (UNIFESP), Escola Paulista Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent54-61
dc.identifierhttp://dx.doi.org/10.1093/ehjci/jew021
dc.identifier.citationEuropean Heart Journal-Cardiovascular Imaging. Oxford, v. 18, n. 1, p. 54-61, 2017.
dc.identifier.doi10.1093/ehjci/jew021
dc.identifier.issn2047-2404
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56374
dc.identifier.wosWOS:000397065800007
dc.language.isoeng
dc.publisherOxford Univ Press
dc.relation.ispartofEuropean Heart Journal-Cardiovascular Imaging
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectspontaneous coronary artery dissectionen
dc.subjectacute myocardial infarctionen
dc.subjectperipartumen
dc.subjectoptical coherence tomographyen
dc.subjectintravascular ultrasounden
dc.titlePregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patientsen
dc.typeinfo:eu-repo/semantics/article
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