Spontaneous dissection of native coronary arteries

Peripartum women may be at increased risk on two accounts: changes in blood flow increasing shear stress, and progesterone driven vessel wall changes which may predispose to coronary dissection. 4 The suggestion of increased risk in this group was not seen in our series. [...]SCAD is a rare conditio...

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Published inHeart (British Cardiac Society) Vol. 91; no. 2; pp. 223 - 224
Main Authors Butler, R, Webster, M W I, Davies, G, Kerr, A, Bass, N, Armstrong, G, Stewart, J T, Ruygrok, P, Ormiston, J
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd and British Cardiovascular Society 01.02.2005
BMJ Publishing Group LTD
Copyright 2005 by Heart
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Abstract Peripartum women may be at increased risk on two accounts: changes in blood flow increasing shear stress, and progesterone driven vessel wall changes which may predispose to coronary dissection. 4 The suggestion of increased risk in this group was not seen in our series. [...]SCAD is a rare condition usually presenting as an acute coronary syndrome and should be considered in younger patients, especially those who develop chest pain in pregnancy or in the postpartum period.
AbstractList Peripartum women may be at increased risk on two accounts: changes in blood flow increasing shear stress, and progesterone driven vessel wall changes which may predispose to coronary dissection. 4 The suggestion of increased risk in this group was not seen in our series. [...]SCAD is a rare condition usually presenting as an acute coronary syndrome and should be considered in younger patients, especially those who develop chest pain in pregnancy or in the postpartum period.
Author Bass, N
Webster, M W I
Stewart, J T
Kerr, A
Ormiston, J
Butler, R
Davies, G
Armstrong, G
Ruygrok, P
AuthorAffiliation 2 Auckland Hospital, Auckland, New Zealand
4 Middlemore Hospital, Auckland, New Zealand
5 North Shore Hospital, Auckland, New Zealand
1 Department of Cardiology, University Hospital of North Staffordshire, Stoke on Trent, UK
3 Aintree NHS Trust, Liverpool, UK
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Correspondence to:
 Dr Robert Butler
 Department of Cardiology, University Hospital of North Staffordshire, Newcastle Road, Stoke on Trent, ST4 6QG; rob.butler@uhns.nhs.uk
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References 2773790 - Am J Cardiol. 1989 Sep 1;64(8):471-4
8124896 - Clin Radiol. 1994 Feb;49(2):142-3
2765327 - Br Heart J. 1989 Aug;62(2):154-6
10745540 - J Invasive Cardiol. 1999 May;11(5):316-21
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SubjectTerms Adult
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - therapy
Angina pectoris
Coronary Aneurysm - diagnostic imaging
Coronary Aneurysm - therapy
Coronary Angiography - methods
coronary arteries
coronary dissection
Female
Heart attacks
Humans
Male
Middle Aged
Scientific Letters
Stents
Veins & arteries
Womens health
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Title Spontaneous dissection of native coronary arteries
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