Spontaneous coronary artery dissection MRI
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2]
Synonyms and keywords: SCAD
Overview
Cardiac magnetic resonance (CMR) is a valuable tool for diagnosis of spontaneose coronary artery dissection (SCAD) in patients as follows: pregnant women for avoiding radiation of coronary angiography, unclear evidence of acute coronary syndrome during coronary angiography, differentiating of SCAD from myocarditis, takotsubo cardiomyopathy. Findings of CMR associated with SCAD include evidence of myocardial infarction with subendocardial LGE,microvascular obstruction, myocardial edema
MRI
- Cardiac magnetic resonance (CMR) is a valuable tool for diagnosis of spontaneose coronary artery dissection (SCAD) in patients as follows:[1][2]
- Pregnant women for avoiding radiation of coronary angiography
- Unclear evidence of acute coronary syndrome during coronary angiography
- Differentiating of SCAD from myocarditis, takotsubo cardiomyopathy
- Findings of CMR associated with SCAD include:
- Evidence of myocardial infarction with subendocardial LGE
- Microvascular obstruction
- Myocardial edema
References
- ↑ Hassan, Saber; Prakash, Roshan; Starovoytov, Andrew; Saw, Jacqueline (2019). “Natural History of Spontaneous Coronary Artery Dissection With Spontaneous Angiographic Healing”. JACC: Cardiovascular Interventions. 12 (6): 518–527. doi:10.1016/j.jcin.2018.12.011. ISSN 1936-8798.
- ↑ Chandrasekhar J, Thakkar J, Starovoytov A, Mayo J, Saw J (June 2020). “Characteristics of spontaneous coronary artery dissection on cardiac magnetic resonance imaging”. Cardiovasc Diagn Ther. 10 (3): 636–638. doi:10.21037/cdt.2020.02.01. PMC 7369282 Check
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