Podcast 680: Coronary Artery Dissection

<p><strong>Contributor:  Adam Barkin, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Spontaneous coronary artery dissection (SCAD) is the most common cause of acute MI in women under 50 years old</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Risk factors include fibromuscular dysplasia, extreme exercise, stress, pregnancy, and recent birth</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Diagnosed in cath lab but medically managed and usually do not get a stent</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Treated with dual antiplatelet therapy and beta-blockers</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Yip A, Saw J. Spontaneous coronary artery dissection-A review. Cardiovasc Diagn Ther. 2015;5(1):37-48. doi:10.3978/j.issn.2223-3652.2015.01.08</span></p> <p><span style="font-weight: 400;">Janssen EBNJ, de Leeuw PW, Maas AHEM. Spontaneous coronary artery dissections and associated predisposing factors: a narrative review. Neth Heart J. 2019;27(5):246-251. doi:10.1007/s12471-019-1235-4</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "http://www.emergencymedicalminute.com/cme-courses"><span style= "font-weight: 400;">www.emergencymedicalminute.com/cme-courses/</span></a> <span style="font-weight: 400;">and create an account. </span></p> <p><a href= "https://www.paypal.com/donate?token=6bIZ91UwjZALMiRLAEcQYYPHyLILwbivQwgtGl3JzaB6oGAQK1