Document Detail

Spontaneous coronary dissection and its long-term prognostic implications in a cohort of 19 cases.
MedLine Citation:
PMID:  20804705     Owner:  NLM     Status:  In-Process    
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. It mainly affects women with no significant cardiovascular risk factors and its presentation varies from unstable angina to sudden death. Knowledge of the condition is based only on individual case reports and the lack of large case series means that its treatment and prognostic implications have not been fully established. We present data on 19 instances of spontaneous coronary artery dissection in 18 patients who were treated at our center between May 1998 and January 2009. The median follow-up period was 3.8 years (interquartile range: 1.3-4.6 years). Once the acute phase had passed, the prognosis was favorable and there were no implications for functioning. One patient presented with a relapse in another coronary artery and another patient gave birth without complications 3 years after the dissection.
Nieves Romero-Rodríguez; Mónica Fernández-Quero; Manuel Villa Gil-Ortega; José Angel Urbano del Moral; Sara Ballesteros Prada; Luis Díaz de la Llera; Angel Martínez-Martínez; Angel Sánchez-González
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista española de cardiología     Volume:  63     ISSN:  1579-2242     ISO Abbreviation:  Rev Esp Cardiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404277     Medline TA:  Rev Esp Cardiol     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  1088-91     Citation Subset:  IM    
Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Virgen del Rocío, Sevilla, España.
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