The Conundrum of Anticoagulation and Antiplatelet Therapy in Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection (SCAD) is a relatively rare and frequently misdiagnosed disease. The current knowledge of its pathophysiology and management is limited and based mostly on hypotheses. We present a patient with recurrent SCAD whose condition worsened soon after discontinuation...

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Bibliographic Details
Published inJIM - high impact case reports Vol. 10; p. 23247096221097541
Main Authors Cordova Sanchez, Andres, Mogadam, Emad, Aiello, Dana
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 2022
Sage Publications Ltd
SAGE Publishing
Subjects
Anticoagulants
Anticoagulants - therapeutic use
Blood platelets
Case Report
Case reports
Coronary Angiography
Coronary Vessel Anomalies
Coronary vessels
Coronary Vessels - diagnostic imaging
Humans
Platelet Aggregation Inhibitors - therapeutic use
Risk Factors
Vascular Diseases - congenital
spontaneous coronary artery dissection
therapy
anticoagulation
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Summary:Spontaneous coronary artery dissection (SCAD) is a relatively rare and frequently misdiagnosed disease. The current knowledge of its pathophysiology and management is limited and based mostly on hypotheses. We present a patient with recurrent SCAD whose condition worsened soon after discontinuation of anticoagulation, prompting us to question the current management and review the evidence about pathophysiology, anticoagulation, and antiplatelet therapy.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:2324-7096
2324-7096
DOI:10.1177/23247096221097541