Management of spontaneous coronary artery dissection: Trends over time.

ABSTRACT:

Background

Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndrome. Guidance regarding the optimal management of patients with SCAD has been published over the past 10 years, but the impact on clinical practice has not been evaluated. The present study aims to examine if approaches to invasive management, medical therapy, and vascular imaging have changed over time.

Methods

This is a retrospective cohort study of 157 patients treated for SCAD between 2005 and 2019 at an academic health system in Philadelphia, Pennsylvania. We aimed to examine change in management over time, including rates of coronary revascularization, discharge medications, and vascular imaging.

Results

Conservative management of SCAD increased ov

SUBMITTER: Feldbaum E 

PROVIDER: S-EPMC10084514 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature