Spontaneous Coronary Artery Dissection.

Abstract:

:Spontaneous coronary artery dissection is an important etiology of nonatherosclerotic acute coronary syndrome, myocardial infarction, and sudden death. Innovations in the catheterization laboratory including optical coherence tomography and intravascular ultrasound have enhanced the ability to visualize intimal disruption and intramural hematoma associated with SCAD. Formerly considered "rare," these technological advances and heightened awareness suggest that SCAD is more prevalent than prior estimates. SCAD is associated with female sex, young age, extreme emotional stress, or extreme exertion, pregnancy, and fibromuscular dysplasia. The clinical characteristics and management strategies of SCAD patients are different than for atherosclerotic heart disease and deserve specific consideration. This review will highlight recent discoveries about SCAD as well as describe current efforts to elucidate remaining gaps in knowledge.

journal_name

Curr Cardiol Rep

authors

Tweet MS,Gulati R,Hayes SN

doi

10.1007/s11886-016-0737-6

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

60

issue

7

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-016-0737-6

journal_volume

18

pub_type

杂志文章,评审
  • The selection of antithrombotic agents in the prevention of recurrent ischemic stroke.

    abstract::The scientific selection of antithrombotic therapy has been dominated by group-based interpretation of data in the form of probability-based statistics in evidence-based medicine. Because the data in large randomized trials are grouped and averaged, the relationship to initial conditions of the patient is lost. There ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-003-0083-3

    authors: Helgason CM

    更新日期:2003-03-01 00:00:00

  • Imaging of coronary inflammation with FDG-PET: feasibility and clinical hurdles.

    abstract::Conventional algorithms and noninvasive imaging tests for the identification of stable, hemodynamically significant coronary artery disease offer little insight into the detection of potentially vulnerable and inflamed coronary plaques, those most likely to rupture and cause acute coronary syndromes. Positron emission...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-011-0168-3

    authors: Rogers IS,Tawakol A

    更新日期:2011-04-01 00:00:00

  • Glycoprotein IIb/IIIa receptor inhibitor-thrombolytic combination therapy for acute myocardial infarction.

    abstract::Over the past two decades, we have witnessed a large decrease in the death and complication rate of patients experiencing acute myocardial infarction (MI), due to our ability to restore blood flow to infarct-related arteries. Therapies include strategies to inhibit platelet function and induce fibrinolysis, and mechan...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-002-0067-8

    authors: Maranian AM,Steinhubl SR

    更新日期:2002-07-01 00:00:00

  • PET Imaging of the Human Nicotinic Cholinergic Pathway in Atherosclerosis.

    abstract::During the past years, non-neuronal vascular nicotinic acetylcholine receptors (nAChRs) increasingly have gained interest in cardiovascular research, as they are known to mediate the deleterious effects of nicotine and nitrosamines, components of tobacco smoke, on the vasculature. Because smoking is a major risk facto...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-015-0614-8

    authors: Bauwens M,Mottaghy FM,Bucerius J

    更新日期:2015-08-01 00:00:00

  • Cardiovascular Disease, the Nitric Oxide Pathway and Risk of Cognitive Impairment and Dementia.

    abstract:PURPOSE OF REVIEW:In this review, we summarise the evidence on the association between cardiovascular disease (CVD) and cognitive impairment and explore the role of the nitric oxide (NO) pathway as a causal mechanism. RECENT FINDINGS:Evidence from epidemiological studies suggests that the presence of CVD and its risk ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-017-0898-y

    authors: Stephan BCM,Harrison SL,Keage HAD,Babateen A,Robinson L,Siervo M

    更新日期:2017-08-11 00:00:00

  • Rheumatic Mitral Valve Stenosis: Diagnosis and Treatment Options.

    abstract:PURPOSE OF REVIEW:This review provides an update on rheumatic mitral stenosis. Acute rheumatic fever (RF), the sequela of group A β-hemolytic streptococcal infection, is the major etiology for mitral stenosis (MS). RECENT FINDINGS:While the incidence of acute RF in the Western world had substantially declined over the...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-019-1099-7

    authors: Wunderlich NC,Dalvi B,Ho SY,Küx H,Siegel RJ

    更新日期:2019-02-28 00:00:00

  • What niche will newer class III antiarrhythmic drugs occupy?

    abstract::The decline in the use of sodium channel blockers has led to an expanding use of b-blockers and complex class III agents such as sotalol and amiodarone for controlling cardiac arrhythmias. Success with these agents in the context of their side effects has spurred the development of compounds with simpler ion channel-b...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-001-0086-x

    authors: Singh BN,Sarma JS

    更新日期:2001-07-01 00:00:00

  • The frequency, impact, and management of mitral regurgitation in patients with heart failure.

    abstract::Management of severe chronic mitral regurgitation (MR) in severe heart failure is challenging. There are controversies over the efficacy of surgical correction of MR in the presence of severely depressed left ventricular (LV) function. The etiology of MR plays an important role in clinical decision making. In organic ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-006-0038-6

    authors: Pu M

    更新日期:2006-05-01 00:00:00

  • Aortic Stenosis, a Left Ventricular Disease: Insights from Advanced Imaging.

    abstract::Aortic stenosis (AS) is the most common primary valve disorder in the elderly with an increasing prevalence. It is increasingly clear that it is also a disease of the left ventricle (LV) rather than purely the aortic valve. The transition from left ventricular hypertrophy to fibrosis results in the eventual adverse ef...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-016-0753-6

    authors: Badiani S,van Zalen J,Treibel TA,Bhattacharyya S,Moon JC,Lloyd G

    更新日期:2016-08-01 00:00:00

  • Diastolic function in hypertension.

    abstract::Diastolic dysfunction in patients with hypertension may present as asymptomatic findings on noninvasive testing, or as fulminant pulmonary edema, despite normal left ventricular systolic function. Up to 40% of hypertensive patients presenting with clinical signs of congestive heart failure have normal systolic left ve...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-001-0071-4

    authors: Phillips RA,Diamond JA

    更新日期:2001-11-01 00:00:00

  • Current Use and Trends in Unprotected Left Main Coronary Artery Percutaneous Intervention.

    abstract:PURPOSE OF REVIEW:To review the clinical evidence on the use of percutaneous coronary intervention (PCI) revascularization options in left main (LM) disease in comparison with coronary artery bypass graft (CABG). Coronary artery disease (CAD) involving the LM is associated with high morbidity and mortality. Though CABG...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-1268-8

    authors: Nagarajarao HS,Ojha CP,Mulukutla V,Ibrahim A,Mares AC,Paul TK

    更新日期:2020-02-08 00:00:00

  • Multimodality imaging for assessment of myocardial viability: nuclear, echocardiography, MR, and CT.

    abstract::The assessment of myocardial viability may be an important component of the evaluation of patients with coronary artery disease and left ventricular dysfunction. The primary goal of viability assessment in such patients is to guide therapeutic decisions by determining which patients would most likely benefit from reva...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-011-0242-x

    authors: Arrighi JA,Dilsizian V

    更新日期:2012-04-01 00:00:00

  • Deep venous thrombosis prophylaxis in patients with heart disease.

    abstract::Therapy to prevent deep venous thrombosis (DVT) and pulmonary embolism remains essential for inpatients, despite short periods of bedrest and hospitalization. Although most available data pertain to surgical patients, subgroups of medical patients are at moderate, high, and very high risk for DVT. These include patien...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-001-0011-3

    authors: Shively BK

    更新日期:2001-01-01 00:00:00

  • Sex-Related Differences in Dilated Cardiomyopathy with a Focus on Cardiac Dysfunction in Oncology.

    abstract:PURPOSE OF REVIEW:The aim of this report is to describe the main aspects of sex-related differences in non-ischemic dilated cardiomyopathies (DCM), focusing on chemotherapy-induced heart failure (HF) and investigating the possible therapeutic implications and clinical management applications in the era of personalized ...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01377-z

    authors: D'Amario D,Camilli M,Migliaro S,Canonico F,Galli M,Arcudi A,Montone RA,Borovac JA,Crea F,Savarese G

    更新日期:2020-08-08 00:00:00

  • Impact of Gut Microbiota on Obesity, Diabetes, and Cardiovascular Disease Risk.

    abstract::Gut microbiota has been recently established to have a contributory role in the development of cardiometabolic disorders, such as atherosclerosis, obesity, and type 2 diabetes. Growing interest has focused on the modulation of gut microbiota as a therapeutic strategy in cardiovascular diseases and metabolic disorders....

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-015-0671-z

    authors: Miele L,Giorgio V,Alberelli MA,De Candia E,Gasbarrini A,Grieco A

    更新日期:2015-12-01 00:00:00

  • Atrial fibrillation ablation in octogenarians: where do we stand?

    abstract::The prevalence of atrial fibrillation increases significantly with age, affecting nearly 10 % of adults greater than 80 years of age. Complications from atrial fibrillation, including stroke, also increase with age. Medical therapy includes anticoagulation, ventricular rate control, and if symptoms persist, maintenanc...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-013-0406-y

    authors: Stepanyan G,Gerstenfeld EP

    更新日期:2013-10-01 00:00:00

  • Improving Medication Adherence in Coronary Heart Disease.

    abstract:PURPOSE OF REVIEW:The purpose of this review was to synthesize research findings from recently published randomized controlled trials (RCTs) targeting any phase of medication adherence, from initiation to discontinuation, among patients with coronary heart disease (CHD). RECENT FINDINGS:We identified successful strate...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-017-0918-y

    authors: Zullig LL,Ramos K,Bosworth HB

    更新日期:2017-09-22 00:00:00

  • Future prospects in magnetic resonance imaging.

    abstract::Cardiovascular magnetic resonance (CMR) is widely regarded as capable of providing a cornucopia of detailed diagnostic information. However, of that information, very little is truly unique, and can be obtained by a combination of alternate diagnostic modalities. Given this, it is anticipated that in the short term (1...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-004-0067-y

    authors: Doyle M,Biederman RW

    更新日期:2004-01-01 00:00:00

  • Healthcare Cost Implications of Utilizing a Dietary Intervention to Lower LDL Cholesterol: Proof of Concept Actuarial Analysis and Recommendations.

    abstract:PURPOSE OF REVIEW:To determine if subsidizing the cost of a food-based intervention for managing hyperlipidemia could be cost-effective under commercial insurance and/or Medicare coverage scenarios. RECENT FINDINGS:A large number of patients eligible for pharmaceutical treatment of hyperlipidemia either cannot or will...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01397-9

    authors: Dong I,Klodas E

    更新日期:2020-09-10 00:00:00

  • PCSK9 Inhibitors: Treating the Right Patients in Daily Practice.

    abstract:PURPOSE OF REVIEW:Monoclonal antibodies that inhibit proprotein convertase subtilisin/kexin type 9 (PCSK9) have emerged as a novel approach to low-density lipoprotein cholesterol (LDL-C) lowering. The potential role of PCSK9 inhibitors in clinical practice will be reviewed. RECENT FINDINGS:Clinical trials have demonst...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-017-0882-6

    authors: King P,Nicholls SJ

    更新日期:2017-08-01 00:00:00

  • Advanced Imaging and Diagnostic Methods in the Assessment of Suspected Ischemic Heart Disease in Women.

    abstract::Although differences diminish with age, outcomes are overall worse for women compared to men who present with suspected acute coronary syndrome. The reasons for this discrepancy are multifactorial, including sex-related differences in atherosclerosis biology and fluid dynamics, as well as a premature conclusion by pro...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-016-0767-0

    authors: Joly JM,Bittner V

    更新日期:2016-09-01 00:00:00

  • Dosing considerations and monitoring of low molecular weight heparins and glycoprotein IIb/IIIa antagonists in patients with renal insufficiency.

    abstract::Glycoprotein IIb/IIIa inhibitors and low molecular heparins are important new components of the medical treatment for acute coronary syndromes (ACS). Renal insufficiency is a common comorbid condition and high-risk marker for ACS. The safety and efficacy of these treatments in ACS are dependent on the pharmacokinetics...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-003-0067-3

    authors: Rammohan C,Fintel D

    更新日期:2003-07-01 00:00:00

  • Use of cardiac magnetic resonance to assess viability.

    abstract::The accurate differentiation of viable and nonviable myocardium is crucial for therapy planning in patients with coronary artery disease and left ventricular dysfunction. Traditional techniques such as echocardiography, positron emission tomography, single photon emission computed tomography, and dobutamine echocardio...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-005-0012-8

    authors: Wagner A,Mahrholdt H,Kim RJ,Judd RM

    更新日期:2005-01-01 00:00:00

  • Overview of the US FDA medical device approval process.

    abstract::Increasing barriers to medical device innovation in the United States including constrained financial resources and rising research costs require that physicians take on greater involvement in medical device development, evaluation, and regulatory processes. Such involvement requires that physicians understand basic a...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-014-0494-3

    authors: Sastry A

    更新日期:2014-01-01 00:00:00

  • Physiology of biventricular pacing.

    abstract::Biventricular pacing (cardiac resynchronization therapy ) has been shown to be a very effective therapy for patients with heart failure and dyssynchrony, with improved survival now shown in a recent trial. Electrical dyssynchrony, usually quantified by the duration of the QRS complex, is distinct from mechanical dyssy...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/BF02938362

    authors: Bilchick KC,Helm RH,Kass DA

    更新日期:2007-09-01 00:00:00

  • Hypertension in Obesity and the Impact of Weight Loss.

    abstract:PURPOSE OF REVIEW:Several interrelated mechanisms promote the development of hypertension in obesity, often contributing to end organ damage including cardiovascular disease and chronic kidney disease. RECENT FINDINGS:The treatment of hypertension in obesity is complicated by a high prevalence of resistant hypertensio...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-017-0912-4

    authors: Cohen JB

    更新日期:2017-08-24 00:00:00

  • Treatment of Bifurcation Lesions: Has DK Crush"ed" the Competition?

    abstract:PURPOSE:This paper reviews the double-kiss crush (DK crush) technique in coronary artery bifurcation lesions. The technical aspects of the procedure and the clinical data supporting its use are summarized. RECENT FINDINGS:Randomized studies support the adoption of DK technique in complex bifurcation lesions for both l...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-018-1024-5

    authors: Lynn BS,Hermiller JB

    更新日期:2018-09-01 00:00:00

  • Ebstein's Anomaly of the Tricuspid Valve: an Overview of Pathology and Management.

    abstract:PURPOSE OF REVIEW:Ebstein's anomaly (EA) is a rare, but complex form of congenital heart disease consisting of a right ventricular myopathy and morphologic tricuspid valve disease leading to a high incidence of right ventricular dysfunction and arrhythmias. This review offers an updated overview of the current understa...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-020-01412-z

    authors: Possner M,Gensini FJ,Mauchley DC,Krieger EV,Steinberg ZL

    更新日期:2020-10-09 00:00:00

  • Percutaneous versus surgical interventions for coronary artery disease in those with diabetes mellitus.

    abstract::Diabetes mellitus (DM) is a metabolic disorder of multiple etiologies that causes long-term damage of various organs including the cardiovascular system. A consistent observation shows that DM amplifies the risk of cardiovascular events by 4- to 6-fold. Since coronary artery disease (CAD) in diabetic patients exhibits...

    journal_title:Current cardiology reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11886-012-0323-5

    authors: Soran O

    更新日期:2013-01-01 00:00:00

  • GP IIb/IIIa inhibitors during primary percutaneous coronary intervention for STEMI: new trial and registry data.

    abstract::Primary percutaneous coronary intervention (PCI) with adjunctive glycoprotein (GP) IIb/IIIa receptor inhibitor therapy administered in the cardiac catheterization laboratory is the optimal reperfusion strategy for patients with ST-elevation myocardial infarction. Most available data regarding these agents are from tri...

    journal_title:Current cardiology reports

    pub_type: 杂志文章

    doi:10.1007/s11886-008-0066-5

    authors: Tamhane UU,Gurm HS

    更新日期:2008-09-01 00:00:00