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Review
Spontaneous coronary artery dissection: contemporary aspects of diagnosis and patient management
  1. Fernando Macaya,
  2. Pablo Salinas,
  3. Nieves Gonzalo,
  4. Antonio Fernández-Ortiz,
  5. Carlos Macaya and
  6. Javier Escaned
  1. Servicio de Cardiología, Hospital Clínico San Carlos, Universidad Complutense, IdISSC, Madrid, Spain
  1. Correspondence to Javier Escaned; escaned{at}secardiologia.es

Abstract

Spontaneous coronary artery dissection is an increasingly recognised cause of acute coronary syndromes, especially in young and middle-age women. Recognising its particularities and differences with atherosclerotic disease is central for appropriately identifying and approaching these patients. The authors review the current state of knowledge on spontaneous coronary artery dissection and provide practical recommendations for the diagnosis and management of this condition, both in the acute and convalescence phases.

  • coronary artery disease
  • peripheral vascular disease
  • coronary angiography
  • interventional cardiology

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Contributors FM wrote the first draft of this manuscript. PS and NG contributed in planning the structure and content, as in reviewing the first draft. AFO, CM and JE provided key intellectual input and appraisal.

  • Funding This study was funded by Fundación Interhospitalaria Investigación Cardiovascular.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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