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Look beyond the Heart: Extracoronary Vascular Manifestations of Spontaneous Coronary Artery Dissection

Look beyond the Heart: Extracoronary Vascular Manifestations of Spontaneous Coronary Artery... COMMENTARY Look beyond the Heart: Extracoronary Vascular Manifestations of Spontaneous Coronary Artery Dissection pontaneous coronary artery dissection (SCAD) accounts for 46% of patients. These findings have been reported in other S1%–4% of all acute coronary syndromes and is the culprit in studies as well. McNair et al, similarly, showed that FMD was up to 35% of myocardial infarctions (MIs) in women younger highly prevalent in the SCAD population (63%), with similar than 50 years of age. An association between fibromuscular rates of carotid (38%) and renal (50%) FMD when imaged. They dysplasia (FMD), other nonatherosclerotic arteriopathies, preg- also reported that 70% of patients had additional non-FMD vas- nancy, systemic inflammatory conditions, and SCAD has been cular abnormalities albeit their imaging included vessels from 1 3 7 reported. For many patients, SCAD may be the first manifesta- the head to pelvis. Saw et al reported FMD in 63% of patients tion of an underlying disease that could put them at increased with SCAD, of whom 49% had involved cerebrovascular anat- risk of repeat coronary and extracoronary ischemic events. omy. Additionally, 5% and 12% of patients had other connective Among these is the risk of cervical artery involvement, making tissue disorders http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Look beyond the Heart: Extracoronary Vascular Manifestations of Spontaneous Coronary Artery Dissection

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Publisher
American Journal of Neuroradiology
Copyright
© 2021 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A7212
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY Look beyond the Heart: Extracoronary Vascular Manifestations of Spontaneous Coronary Artery Dissection pontaneous coronary artery dissection (SCAD) accounts for 46% of patients. These findings have been reported in other S1%–4% of all acute coronary syndromes and is the culprit in studies as well. McNair et al, similarly, showed that FMD was up to 35% of myocardial infarctions (MIs) in women younger highly prevalent in the SCAD population (63%), with similar than 50 years of age. An association between fibromuscular rates of carotid (38%) and renal (50%) FMD when imaged. They dysplasia (FMD), other nonatherosclerotic arteriopathies, preg- also reported that 70% of patients had additional non-FMD vas- nancy, systemic inflammatory conditions, and SCAD has been cular abnormalities albeit their imaging included vessels from 1 3 7 reported. For many patients, SCAD may be the first manifesta- the head to pelvis. Saw et al reported FMD in 63% of patients tion of an underlying disease that could put them at increased with SCAD, of whom 49% had involved cerebrovascular anat- risk of repeat coronary and extracoronary ischemic events. omy. Additionally, 5% and 12% of patients had other connective Among these is the risk of cervical artery involvement, making tissue disorders

Journal

American Journal of Neuroradiology – American Journal of Neuroradiology

Published: Aug 1, 2021

References

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    JC. Benson, VT. Lehman, JT. Verdoorn
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    J. Saw, A. Starovoytov, K. Humphries
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