Factors Associated With Revascularization in Women With Spontaneous Coronary Artery Dissection and Acute Myocardial Infarction.

Authors

Toshiaki Isogai, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Anas M Saad, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Keerat R. Ahuja, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, Division of Cardiovascular Medicine, Reading Hospital-Tower Health, West Reading, PAFollow
Mohamed M Gad, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Shashank Shekhar, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Omar M Abdelfattah, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Manpreet Kaur, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Jacqueline Saw, Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada
Leslie Cho, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio
Samir R Kapadia, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio

Document Type

Article

Publication Date

3-1-2022

Abstract

In contrast to atherosclerotic acute myocardial infarction (AMI), conservative therapy is considered preferable in the acute management of spontaneous coronary artery dissection (SCAD) if clinically possible. The present study aimed to investigate factors associated with treatment strategy for SCAD. Women aged ≤60 years with AMI and SCAD were retrospectively identified in the Nationwide Readmissions Database 2010 to 2015 and were divided into revascularization and conservative therapy groups. The revascularization group (n = 1,273, 68.0%), compared with the conservative therapy group (n = 600, 32.0%), had ST-elevation AMI (STEMI) (anterior STEMI, 20.3% vs 10.5%; inferior STEMI, 25.1% vs 14.5%; p

Publication Title

The American journal of cardiology

Volume

166

First Page

1

Last Page

8

Recommended Citation

Isogai, T., Saad, A., Ahuja, K. R., Gad, M., Shekhar, S., Abdelfattah, O., Kaur, M., Saw, J., Cho, L., & Kapadia, S. (2022). Factors Associated With Revascularization in Women With Spontaneous Coronary Artery Dissection and Acute Myocardial Infarction.. The American journal of cardiology, 166, 1-8. https://doi.org/DOI: 10.1016/j.amjcard.2021.11.024