Trends in incidence, characteristics, and in-hospital outcomes of patients presenting with spontaneous coronary artery dissection (from a national population-based cohort study between 2004 and 2015)
The American Journal of Cardiology Aug 24, 2018
Krittanawong C, et al. - Researchers analyzed data from a national population-based cohort study from January 1, 2004 to September 30, 2015 to assess the incidence, patient characteristics, clinical characteristics, and mortality of spontaneous coronary artery dissection (SCAD)-related hospitalizations. A diagnosis of SCAD was made in 66,360 (0.49%) of 13,573,200 patients who presented with an acute coronary syndrome (ACS), with mean age 63.1 ± 13.2 years and 44.2% being women. The reported in-hospital mortality of SCAD patients was 4.2%. Overall, considering SCAD in males and older patients in addition to females presenting with ACS was recommended, even though it is an uncommon diagnosis. Nowadays, medical management is employed in most SCAD patients. The observed in-hospital mortality in SCAD patients was comparable to that of other patients who presented with ACS.
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