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Heart - Lung (Varna)

Spontaneous coronary artery dissection (scad)

Jan Sitar, Ladislav Groch, Nikolay Penkov

Abstract

Spontaneous coronary artery dissection is rare disease, occurring most often in young women. Clinical manifestation is acute coronary syndrome (ACS). Patogenetic of the disease is not known. Diagnosis is made by ECG, coronary angiography and optical coherence tomography. There are unclear recommendations concerning therapy. In patients with SCAD we recommend conservative therapy initially and then delayed PCI, optimally as OCT guided procedure. The use of biodegradable vascular scaffolds (BVS) could be the ideal option in treatment of atherosclerosis unaffected dissected coronary arteries.


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References

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DOI: http://dx.doi.org/10.14748/hl.v20i3-4.1493

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