Multimodality Imaging for Spontaneous Coronary Artery Dissection in Women

JACC Cardiovasc Imaging. 2016 Apr;9(4):436-50. doi: 10.1016/j.jcmg.2016.01.009.

Abstract

Spontaneous coronary artery dissection (SCAD) has gained attention as a key cause of acute coronary syndrome and sudden cardiac death among women. Recent advancements in cardiac imaging have improved identification and accelerated awareness of SCAD. Accurate diagnosis of SCAD through use of imaging is critical, as emerging evidence suggests that the optimal short- and long-term management strategies for women with SCAD differs substantially from that of women with atherosclerotic coronary disease. This review summarizes the application of both invasive and noninvasive imaging for the diagnosis, assessment, surveillance, and treatment of women affected by SCAD.

Keywords: cardiac imaging; coronary angiography; coronary computed tomography angiography; echocardiography; fibromuscular dysplasia; intravascular imaging; myocardial infarction; spontaneous coronary artery dissection; women.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Video-Audio Media

MeSH terms

  • Adult
  • Age of Onset
  • Aortic Dissection / diagnostic imaging*
  • Aortic Dissection / mortality
  • Aortic Dissection / therapy
  • Coronary Aneurysm / diagnostic imaging*
  • Coronary Aneurysm / mortality
  • Coronary Aneurysm / therapy
  • Female
  • Humans
  • Middle Aged
  • Multimodal Imaging / methods*
  • Predictive Value of Tests
  • Prognosis
  • Risk Factors
  • Sex Factors
  • Women's Health*