Coronary artery dissection: Difference between revisions

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*Fibromuscular dysplasia
*Fibromuscular dysplasia
*Underling [[connective tissue disorder]]
*Underling [[connective tissue disorder]]
*Iatrogenic (during coronary angiography)


==Clinical Features==
==Clinical Features==
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==Disposition==
==Disposition==
*Admit


==See Also==
==See Also==

Revision as of 02:56, 26 September 2019

Background

  • Usually presents as an Anterior MI with ST changes in anterior Precordial leads (V1-V3)

Causes

  • Hormonal changes in vessel wall (eg pregnancy, contraceptives)
  • Shear forces
  • Fibromuscular dysplasia
  • Underling connective tissue disorder
  • Iatrogenic (during coronary angiography)

Clinical Features

Differential Diagnosis

ST Elevation

Evaluation

  • Diagnosis made at time of coronary angiography

Management

Disposition

  • Admit

See Also

References

  1. Saw J, Aymong E, Sedlak T, et al. Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes. Circ Cardiovasc Interv 2014; 7:645.