Characteristics and outcomes of percutaneous coronary interventions in patients with spontaneous coronary artery dissection. A study from the administrative minimum data set of the Spanish National Health System.

ABSTRACT:

Background

Coronary revascularization in patients with spontaneous coronary artery dissection (SCAD) is challenging. Indications and results of percutaneous coronary interventions (PCI) in SCAD patients are not well established.

Aim

To assess indications and results of PCI in SCAD.

Methods

The minimum basic data set of the Spanish National Health System (years 2016-2019) was used to identify 804 episodes of acute myocardial infarction (AMI) and SCAD, with a crude in-hospital mortality rate of 3%. Of these, 368 (46.8%) patients were revascularized with PCI during admission whereas 436 (54.2%) were managed conservatively.

Results

Revascularization and in-hospital mortality rates both declined over the study period (p for trend both < 0.05). SCAD patients treated

SUBMITTER: Alfonso F 

PROVIDER: S-EPMC9754633 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature