Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients
| Main Author: | |
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| Publication Date: | 2017 |
| Other Authors: | , , , , , , , , , , , , , , , , , , , |
| Format: | Article |
| Language: | eng |
| Source: | Repositório Institucional da UNIFESP |
| Download full: | http://dx.doi.org/10.1093/ehjci/jew021 https://repositorio.unifesp.br/handle/11600/56374 |
Summary: | Aims We sought to present a series of 13 pregnancy-associated spontaneous coronary artery dissection (P-SCAD), their angiographic and multimodal imaging findings, acute phase treatment, and outcomes. Methods and results Between 2005 and 2015, 13 cases of P-SCAD were collected from a database of 11 tertiary hospitals. The mean age was 33.8 3.7 years |
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Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patientsspontaneous coronary artery dissectionacute myocardial infarctionperipartumoptical coherence tomographyintravascular ultrasoundAims We sought to present a series of 13 pregnancy-associated spontaneous coronary artery dissection (P-SCAD), their angiographic and multimodal imaging findings, acute phase treatment, and outcomes. Methods and results Between 2005 and 2015, 13 cases of P-SCAD were collected from a database of 11 tertiary hospitals. The mean age was 33.8 3.7 yearsmost patients had no risk factors for coronary artery disease, and the majority were multiparous. P-SCAD occurred during the puerperium in 12 patients with a median time of 10 days. Only one patient presented with P-SCAD in the 37th week of pregnancy, and she was the only patient who died in this series. Six patients (46%) presented with ST-segment elevation acute myocardial infarction (STEMI), six (46%) presented with non-STEM!, and one presented with unstable anginaone-third of women had cardiogenic shock. In 12 patients, the dissection involved the left anterior descending or circumflex artery, and it extended to the left main coronary artery in 6 patients. Intravascular ultrasound or optical coherence tomography helped to confirm diagnosis and guide treatment in 46% of cases. Seven women were managed clinicallypercutaneous coronary intervention was performed in five cases, and coronary artery bypass grafting was performed in one patient Conclusion In these 13 cases of P-SCAD, clinical presentation commonly included acute myocardial infarction and cardiogenic shock. Multivessel dissections and involvement of the left coronary artery and left main coronary artery were highly prevalent. Clinicians must be aware of angiographic appearances of P-SCAD for prompt diagnosis and management in these high-risk patients.Univ Fed Sa Paulo, Escola Paulista Med, Sao Paulo, BrazilHosp Israelita Albert Einstein, Sao Paulo, BrazilMt Sinai Med Ctr, New York, NY USAInst Dante Pazzanese Cardiol, Sao Paulo, BrazilClin Sao Vicenta, Rio De Janeiro, BrazilSanta Casa Misericordia Goiania, Goiania, Go, BrazilHosp Reg Mato Grosso, Mato Grosso, BrazilHosp Bandeirantes, Sao Paulo, BrazilUniversidade Federal de São Paulo (UNIFESP), Escola Paulista Med, Sao Paulo, BrazilWeb of ScienceCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Oxford Univ Press2020-07-31T12:46:48Z2020-07-31T12:46:48Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion54-61http://dx.doi.org/10.1093/ehjci/jew021European Heart Journal-Cardiovascular Imaging. Oxford, v. 18, n. 1, p. 54-61, 2017.10.1093/ehjci/jew0212047-2404https://repositorio.unifesp.br/handle/11600/56374WOS:000397065800007engEuropean Heart Journal-Cardiovascular ImagingOxfordinfo:eu-repo/semantics/openAccessCade, Jamil Ribeiro [UNIFESP]Szarf, Gilberto [UNIFESP]Siqueira, Maria Eduarda Menezes de [UNIFESP]Chaves, AureaAndrea, Julio C. M.Figueira, Helio R.Gomes Junior, Manuel Pereira Marques [UNIFESP]Freitas, Barbara P.Medeiros, Juliana Filgueiras [UNIFESP]dos Santos, Marcio RicardoFiorotto, Walter B.Daige, AugustoGoncalves, RosalyCantarelli, MarceloAlves, Claudia Maria Rodrigues [UNIFESP]Echenique, Leandro [UNIFESP]Fabio, S. de BritoPerin, Marco A.Born, Daniel [UNIFESP]Hecht, HarveyCaixeta, Adriano [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2021-10-04T21:26:15Zoai:repositorio.unifesp.br/:11600/56374Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652021-10-04T21:26:15Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
| dc.title.none.fl_str_mv |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| title |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| spellingShingle |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients Cade, Jamil Ribeiro [UNIFESP] spontaneous coronary artery dissection acute myocardial infarction peripartum optical coherence tomography intravascular ultrasound |
| title_short |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| title_full |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| title_fullStr |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| title_full_unstemmed |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| title_sort |
Pregnancy-associated spontaneous coronary artery dissection: insights from a case series of 13 patients |
| author |
Cade, Jamil Ribeiro [UNIFESP] |
| author_facet |
Cade, Jamil Ribeiro [UNIFESP] Szarf, Gilberto [UNIFESP] Siqueira, Maria Eduarda Menezes de [UNIFESP] Chaves, Aurea Andrea, Julio C. M. Figueira, Helio R. Gomes Junior, Manuel Pereira Marques [UNIFESP] Freitas, Barbara P. Medeiros, Juliana Filgueiras [UNIFESP] dos Santos, Marcio Ricardo Fiorotto, Walter B. Daige, Augusto Goncalves, Rosaly Cantarelli, Marcelo Alves, Claudia Maria Rodrigues [UNIFESP] Echenique, Leandro [UNIFESP] Fabio, S. de Brito Perin, Marco A. Born, Daniel [UNIFESP] Hecht, Harvey Caixeta, Adriano [UNIFESP] |
| author_role |
author |
| author2 |
Szarf, Gilberto [UNIFESP] Siqueira, Maria Eduarda Menezes de [UNIFESP] Chaves, Aurea Andrea, Julio C. M. Figueira, Helio R. Gomes Junior, Manuel Pereira Marques [UNIFESP] Freitas, Barbara P. Medeiros, Juliana Filgueiras [UNIFESP] dos Santos, Marcio Ricardo Fiorotto, Walter B. Daige, Augusto Goncalves, Rosaly Cantarelli, Marcelo Alves, Claudia Maria Rodrigues [UNIFESP] Echenique, Leandro [UNIFESP] Fabio, S. de Brito Perin, Marco A. Born, Daniel [UNIFESP] Hecht, Harvey Caixeta, Adriano [UNIFESP] |
| author2_role |
author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Cade, Jamil Ribeiro [UNIFESP] Szarf, Gilberto [UNIFESP] Siqueira, Maria Eduarda Menezes de [UNIFESP] Chaves, Aurea Andrea, Julio C. M. Figueira, Helio R. Gomes Junior, Manuel Pereira Marques [UNIFESP] Freitas, Barbara P. Medeiros, Juliana Filgueiras [UNIFESP] dos Santos, Marcio Ricardo Fiorotto, Walter B. Daige, Augusto Goncalves, Rosaly Cantarelli, Marcelo Alves, Claudia Maria Rodrigues [UNIFESP] Echenique, Leandro [UNIFESP] Fabio, S. de Brito Perin, Marco A. Born, Daniel [UNIFESP] Hecht, Harvey Caixeta, Adriano [UNIFESP] |
| dc.subject.por.fl_str_mv |
spontaneous coronary artery dissection acute myocardial infarction peripartum optical coherence tomography intravascular ultrasound |
| topic |
spontaneous coronary artery dissection acute myocardial infarction peripartum optical coherence tomography intravascular ultrasound |
| description |
Aims We sought to present a series of 13 pregnancy-associated spontaneous coronary artery dissection (P-SCAD), their angiographic and multimodal imaging findings, acute phase treatment, and outcomes. Methods and results Between 2005 and 2015, 13 cases of P-SCAD were collected from a database of 11 tertiary hospitals. The mean age was 33.8 3.7 years |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017 2020-07-31T12:46:48Z 2020-07-31T12:46:48Z |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1093/ehjci/jew021 European Heart Journal-Cardiovascular Imaging. Oxford, v. 18, n. 1, p. 54-61, 2017. 10.1093/ehjci/jew021 2047-2404 https://repositorio.unifesp.br/handle/11600/56374 WOS:000397065800007 |
| url |
http://dx.doi.org/10.1093/ehjci/jew021 https://repositorio.unifesp.br/handle/11600/56374 |
| identifier_str_mv |
European Heart Journal-Cardiovascular Imaging. Oxford, v. 18, n. 1, p. 54-61, 2017. 10.1093/ehjci/jew021 2047-2404 WOS:000397065800007 |
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eng |
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eng |
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European Heart Journal-Cardiovascular Imaging |
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info:eu-repo/semantics/openAccess |
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openAccess |
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54-61 |
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Oxford |
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Oxford Univ Press |
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Oxford Univ Press |
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reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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biblioteca.csp@unifesp.br |
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