Spontánní koronární disekce, kazuistiky dvou případů u mužů

Title in English Spontaneous coronary artery dissection, two case reports of men
Authors

KOUDELKA Adam LOKAJ Petr PAŘENICA Jiří KAŇOVSKÝ Jan KALA Petr

Year of publication 2022
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.casopisvnitrnilekarstvi.cz/pdfs/vnl/2022/06/08.pdf
Keywords dual antiplatelet therapy; selective coronarography; spontaneous coronary dissection; type 2 myocardial infarction
Description Spontaneous coronary dissection (SCAD) is one of the less common causes of acute coronary syndrome. It mainly affects younger patients without typical risk factors for ischemic heart disease. SCAD usually arises suddenly in otherwise healthy individuals with a previously full quality of life, and given the potential urgency of the condition, it is an important nosological unit in the differential diagnosis of chest pain. With the improving availability of comprehensive diagnostic methods we could see an increase in number of reported cases, and thus the potential for early intervention or active prevention of complications including malignant arrhythmias and cardiac arrest. It is therefore necessary to think about SCAD during examination of patients that are not yet at a cardiovascular risk. The vast majority of published case reports relate to cases described in women. Our article describes two case reports in men.

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