The follow-up of myocardial injury and left ventricular function after spontaneous coronary artery dissection

Gordana Krljanac; Svetlana Apostolovic; Marija Polovina; Ruzica Maksimovic; Olga Nedeljkovic Arsenovic; Nemanja Djordjevic; Stefan Stankovic; Lidija Savic; Aleksandra Djokovic; Mihajlo Viduljevic; Sanja Stankovic; Milika Asanin

doi:10.3389/fcvm.2023.1276347

The follow-up of myocardial injury and left ventricular function after spontaneous coronary artery dissection

Front Cardiovasc Med. 2023 Nov 14:10:1276347. doi: 10.3389/fcvm.2023.1276347. eCollection 2023.

Authors

Gordana Krljanac^{1

2}, Svetlana Apostolovic^{3

4}, Marija Polovina^{1

2}, Ruzica Maksimovic^{2

5}, Olga Nedeljkovic Arsenovic^{2

5}, Nemanja Djordjevic¹, Stefan Stankovic¹, Lidija Savic^{1

2}, Aleksandra Djokovic^{2

6}, Mihajlo Viduljevic¹, Sanja Stankovic^{7

8}, Milika Asanin^{1

2}

Affiliations

¹ Cardiology Clinic, University Clinical Center of Serbia, Belgrade, Serbia.
² Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
³ Coronary Care Unit, Cardiology Clinic, University Clinical Center of Nis, Nis, Serbia.
⁴ Faculty of Medicine, University of Nis, Nis, Serbia.
⁵ Center for Radiology and Magnetic Resonance Imaging, University Clinical Center of Serbia, Belgrade, Serbia.
⁶ Department of Cardiology, University Hospital Center Bezanijska kosa, Belgrade, Serbia.
⁷ Center for Medical Biochemistry, University Clinical Center of Serbia, Belgrade, Serbia.
⁸ Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

Abstract

Monitoring patients with spontaneous coronary dissection (SCAD) is critical in their care, as there are no accepted recommendations. To this end, finding clinical or imaging predictors of recurrent events in these patients is essential for predicting adverse events and guiding treatment decisions between conservative medical therapy and percutaneous coronary intervention. Myocardial injury and left ventricular function after SCAD can be variable parameters that require monitoring. Echocardiography and cardiac magnetic resonance are two useful imaging techniques to do so. This review aims to analyze previously published results on monitoring myocardial injury and left ventricular function in SCAD patients while highlighting the potential benefits of contemporary imaging techniques that could further improve patient care in the future.

Keywords: cardiac magnetic resonance; echocardiography; follow-up; left ventricular function; myocardial injury; spontaneous coronary artery dissection.

Publication types

Review

Grants and funding

The authors declare that no financial support was received for the research, authorship, and/or publication of this article.