Spontaneous coronary artery dissection: A case series highlighting diagnostic challenges and the potential for underestimating the incidence of this presumed rare disorder

Michael Pfeiffer, Giselle Baquero, Mark Kozak

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Spontaneous coronary artery dissection (SCAD) is an uncommon condition with a variety of clinical presentations. Our knowledge base for SCAD is limited and derives from case reports and retrospective reviews. Several aspects of this disorder, including its rarity, heterogeneity of its presentation, and lack of identification during initial assessment, propose obstacles to reliably secure an accurate diagnosis and consequently we believe that the incidence of this disorder is likely underestimated in the literature. We present a case series of 5 patients with SCAD who exhibit features of this disorder that pose diagnostic challenges and outline the aspects of their history, presentation, and work-up. We propose that this condition is more than rare and may be underestimated; improved awareness of this disorder and associated trends might improve a clinician's index of suspicion and lead to a better diagnostic approach. Case reports and reviews remain vital to our understanding of this disorder and its true prevalence.

Original languageEnglish (US)
Pages (from-to)E159-E162
JournalJournal of Invasive Cardiology
Volume25
Issue number7
StatePublished - Jul 1 2013

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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