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Spontaneous Coronary Artery DissectionIntramural Haematoma in Young Women with ST-Elevation Myocardial Infarction: “It Is Not Always a Plaque Rupture Event”
المؤلفون المشاركون
Manolis, Athanasios
Townend, Jonathan N.
Kassimis, George
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-10-21
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Spontaneous coronary artery dissection (SCAD) is an unusual, but increasingly recognized, cause of ST-elevation myocardial infarction (STEMI), especially among younger patients without conventional risk factors for coronary artery disease (CAD).
Although dissection of the coronary intima or media is a hallmark finding, hematoma formation within the vessel wall is often present.
It remains unclear whether dissection or hematoma is the primary event, but both may cause luminal stenosis and occlusion.
The diagnosis of SCAD is made principally with invasive coronary angiography, although adjunctive intracoronary imaging modalities may increase the diagnostic yield.
In STEMI patients, the decision whether to pursue primary percutaneous coronary intervention (PCI) or appropriate conservative medical therapy is based on clinical presentation, the extent of the dissection, the critical anatomy involvement, and the amount of ischaemic myocardium at risk.
In this case report, we present two cases of young women with SCAD and STEMI, successfully treated with primary PCI.
We briefly illustrate the characteristic aspects of the angiographic presentation and intravascular ultrasound-guided treatment.
SCAD should always be considered in young STEMI patients without conventional risk factors for CAD with primary angioplasty to be required in patients with ongoing myocardial ischemia.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kassimis, George& Manolis, Athanasios& Townend, Jonathan N.. 2015. Spontaneous Coronary Artery DissectionIntramural Haematoma in Young Women with ST-Elevation Myocardial Infarction: “It Is Not Always a Plaque Rupture Event”. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058133
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kassimis, George…[et al.]. Spontaneous Coronary Artery DissectionIntramural Haematoma in Young Women with ST-Elevation Myocardial Infarction: “It Is Not Always a Plaque Rupture Event”. Case Reports in Cardiology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1058133
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kassimis, George& Manolis, Athanasios& Townend, Jonathan N.. Spontaneous Coronary Artery DissectionIntramural Haematoma in Young Women with ST-Elevation Myocardial Infarction: “It Is Not Always a Plaque Rupture Event”. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058133
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1058133
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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