Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: Spontaneous coronary artery dissection (SCAD) remains a rare, but challenging entity. SCAD may occur as an isolated phenomenon or associated with coronary artery disease. Aim: The aim of our study is to determine early outcomes in patients with SCAD. Methods: Prospective descriptive study, 44 patients were diagnosed as SCAD with angiographic assessment, presentation and early mortality. Results: Mean age was 49.3 ± 10.4 years and 66% were women with 1 or fewer cardiovascular risk factors. Most patients presented with STEMI (39%) versus 30% for NSTEMI, 9% UA and 4% presented by heart failure. The most frequent culprit lesion was the left anterior descending (LAD) artery (70%); proximal to mid segments were the most affected (80%). Majority of patients were treated conservatively without revascularization. The in-hospital and 30-day mortality was about 7%. Conclusion: SCAD varies according to clinical presentation and mostly found in females. Medical treatment offers a valuable alternative in low-risk cases
Authors: Ahmed M. Sanad, Muhannad Almubarak, Ali F. Alanzi, Mohamed S. El-Shetry, Ahmed Darwish, Abdulaziz M. Alshammari, Fathy A. Nada
Institutions: Suez Canal University, Jouf University, Zagazig University
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4416845198
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