Diseksi Spontan Arteri Koroner: Diagnosis dan Manajemen

Coronary Artery Spontaneous Dissection: Diagnosis and Management

Authors

  • Sidhi Laksono Divisi Kardiologi Intervensi, RS Jantung Diagram Siloam, Cinere, Depok, Indonesia Author
  • Yogi Subandra Fakultas Kedokteran, Universitas Padjadjaran, Bandung, Indonesia Author

Keywords:

Diseksi spontan arteri koroner, Diagnosis, Manajemen, Sindrom koroner akut

Abstract

Diseksi spontan arteri koroner (Spontaneous Coronary Artery Dissection: SCAD) salah satu penyebab kasus SKA yang jarang tetapi meningkat insidensi pada wanita muda dengan penilaian risiko kardivaskular rendah. Selain itu SCAD memiliki faktor risiko terhadap kehamilan, dan penyakit fibromuscular dysplasia. Penegakan diagnosis SCAD dengan angiografi koroner menjadi tantangan dikarenakan karakteristik SCAD yang mirip dengan penyebab ACS lainnya dan sering kali terlewat. Diharapkan SCAD dapat menjadi perhatian penelitiaan untuk mendukung penegakan diagnosis dan manajemen guna menghasilkan keluaran lebih baik.

References

M. S. Tweet et al. 2012. “Clinical features, management, and prognosis of spontaneous coronary artery dissection,” Circulation, vol. 126, no. 5, pp. 579–588.

R. Clare et al. 2019. “Characteristics and Clinical Outcomes of Patients With Spontaneous Coronary Artery Dissection,” J. Am. Heart Assoc., vol. 8, no. 10, pp. 1–8.

T. Nakashima et al. 2016. “Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: A report from the Angina Pectoris-

Diseksi Spontan Arteri Koroner: Diagnosis dan Manajemen Jurnal Sains dan Kesehatan (J. Sains Kes.) 2023. Vol 5. No 1. p-ISSN: 2303-0267, e-ISSN: 2407-6082

Myocardial Infarction Multicenter Investigators in Japan,” Int. J. Cardiol., vol. 207, pp. 341–348.

U. Elkayam et al. 2014. “Pregnancy-associated acute myocardial infarction: a review of contemporary experience in 150 cases between 2006 and 2011.,” Circulation, vol. 129, no. 16, pp. 1695–1702, Apr.

T. Nishiguchi et al. 2016. “Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome,” Eur. Hear. journal. Acute Cardiovasc. care, vol. 5, no. 3, pp. 263–270.

H. N. Z. Rashid et al. 2016. “Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome - A single-centre Australian experience,” Int. J. Cardiol., vol. 202, pp. 336–338.

A. Daoulah et al. 2021. “Spontaneous Coronary Artery Dissection in the Gulf: G-SCAD Registry,” Angiology, vol. 72, no. 1, pp. 32–43.

T. Inohara, J. Saw, S. Kohsaka, K. Fukuda, and K. Fushimi. 2020. “Treatment pattern and outcome of spontaneous coronary artery dissection in Japan,” Int. J. Cardiol., vol. 316, no. xxxx, pp. 13–18.

M. S. Faden, N. Bottega, A. Benjamin, and R. N. Brown. 2016. “A nationwide evaluation of spontaneous coronary artery dissection in pregnancy and the puerperium.,” Heart, vol. 102, no. 24, pp. 1974–1979, Dec.

E. Solinas et al.2022. “Spontaneous coronary artery dissection: an Italian single centre experience.,” J. Cardiovasc. Med. (Hagerstown)., vol. 23, no. 2, pp. 141–148, Feb.

C. Krittanawong et al. 2021. “Hospital Readmission in Patients With Spontaneous Coronary Artery Dissection.,” Am. J. Cardiol., vol. 151, pp. 39–44, Jul.

P. Díez-Villanueva et al. 2021. “Spontaneous coronary artery dissection in old patients: clinical features, angiographic findings, management and outcome.,” Eur. Hear. journal. Acute Cardiovasc. care, vol. 10, no. 8, pp. 926–932, Oct.

T. T. Low, M. Houdmont, H. W. Sim, K. H. Chan, P. H. Loh, and J. P. Loh. 2020. “Spontaneous coronary artery dissection: clinical implications and diagnostic challenges. Overlooked and underappreciated in Asia?,” Clin. Cardiol., vol. 43, no. 11, pp. 1240–1247.

F. Alfonso et al. 2012. “Diagnosis of spontaneous coronary artery dissection by optical coherence tomography.,” J. Am. Coll. Cardiol., vol. 59, no. 12, pp. 1073–1079, Mar.

R. Jackson et al. 2019. “Spontaneous Coronary Artery Dissection: Pathophysiological Insights From Optical Coherence Tomography.,” JACC.

Cardiovasc. Imaging, vol. 12, no. 12, pp. 2475–2488, Dec.

N. Combaret et al. 2021. “National French registry of spontaneous coronary artery dissections: prevalence of fibromuscular dysplasia and genetic analyses.,”

EuroIntervention J. Eur. Collab. with Work. Gr. Interv. Cardiol. Eur. Soc. Cardiol., vol. 17, no. 6, pp. 508–515, Aug.

W. Ullah et al. 2019. “Spontaneous Coronary Artery Dissection Secondary to Rheumatological Diseases: A Comprehensive Review.,” Cureus, vol. 11, no. 7, p. e5231, Jul.

C. Krittanawong et al. 2013. “Clinical features and prognosis of patients with spontaneous coronary artery dissection.,” Int. J. Cardiol., vol. 312, pp. 33–36, Aug. 2020.

J. Saw, D. Ricci, A. Starovoytov, R. Fox, and C. E. Buller, “Spontaneous coronary artery dissection: prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort.,” JACC. Cardiovasc. Interv., vol. 6, no. 1, pp. 44–52, Jan.

J. Saw et al. 2014. “Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes.,” Circ. Cardiovasc. Interv., vol. 7, no. 5, pp. 645–655, Oct.

E. Altshuler, E. Matthia, D. Naik, and E. C. Keeley. Nov-2021. “Extremely Heavy Lifting Associated With Spontaneous Coronary Artery Dissection.,” Cureus, vol. 13, no. 11. p. e19451.

C. Luong, A. Starovoytov, M. Heydari, T. Sedlak, E. Aymong, and J. Saw. 2017. “Clinical presentation of patients with spontaneous coronary artery dissection.,” Catheter. Cardiovasc. Interv. Off. J. Soc. Card. Angiogr. Interv., vol. 89, no. 7, pp. 1149–1154, Jun.

M. García-Guimaraes et al. 2021. “Spontaneous coronary artery dissection in Spain: clinical and angiographic characteristics, management, and in-hospital events.,” Rev. Esp. Cardiol. (Engl. Ed)., vol. 74, no. 1, pp. 15–23, Jan.

P. Díez-Villanueva et al., “Spontaneous Coronary Artery Dissection and Menopause.,” Am. J. Cardiol., vol. 148, pp. 53–59, Jun. 2021.

J. Saw. 2014. “Coronary angiogram classification of spontaneous coronary artery dissection.,” Catheter. Cardiovasc. Interv. Off. J. Soc. Card. Angiogr. Interv., vol. 84, no. 7, pp. 1115–1122, Dec.

A. Al-Hussaini and D. Adlam, 2017. “Spontaneous coronary artery dissection.,” Heart, vol. 103, no. 13, pp. 1043–1051, Jul.

J. Saw et al. 2019. “Canadian spontaneous coronary artery dissection cohort study: in- hospital and 30-day outcomes.,” Eur. Heart J., vol. 40, no. 15, pp. 1188–1197, Apr.

Diseksi Spontan Arteri Koroner: Diagnosis dan Manajemen Jurnal Sains dan Kesehatan (J. Sains Kes.) 2023. Vol 5. No 1. p-ISSN: 2303-0267, e-ISSN: 2407-6082

M. Paulo et al. 2013. “Combined use of OCT and IVUS in spontaneous coronary artery dissection.,” JACC. Cardiovasc. Imaging, vol. 6, no. 7, pp. 830–832, Jul.

J. Saw, G. B. J. Mancini, and K. H. Humphries. 2016. “Contemporary Review on Spontaneous

Coronary Artery Dissection,” J. Am. Coll. Cardiol., vol. 68, no. 3, pp. 297–312.

S. N. Hayes et al. 2018. Spontaneous coronary artery dissection: Current state of the science: A scientific statement from the American Heart Association, vol. 137, no. 19.

C. Lettieri et al. 2015. “Management and Long- Term Prognosis of Spontaneous Coronary Artery Dissection.,” Am. J. Cardiol., vol. 116, no. 1, pp. 66–73, Jul.

P. P. Bocchino et al. 2021. “Invasive versus conservative management in spontaneous coronary artery dissection: A meta-analysis and meta-regression study.,” Hellenic J. Cardiol., vol. 62, no. 4, pp. 297–303.

C. Krittanawong et al. 2021. “Long-Term Outcomes Comparing Medical Therapy versus Revascularization for Spontaneous Coronary Artery Dissection.,” Am. J. Med., vol. 134, no. 7, pp. e403–e408, Jul.

S. Hassan, R. Samuel, A. Starovoytov, C. Lee, E. Aymong, and J. Saw. 2021. “Outcomes of Percutaneous Coronary Intervention in Patients with Spontaneous Coronary Artery Dissection.,” J. Interv. Cardiol., vol. 2021, p. 6686230.

J. K. Fahey et al.2021., “Women With Spontaneous Coronary Artery Dissection Are at Increased Risk of Iatrogenic Coronary Artery Dissection.,” Heart. Lung Circ., vol. 30, no. 1, pp. e23–e28, Jan.

M. S. Tweet et al. 2014. “Spontaneous coronary artery dissection: revascularization versus conservative therapy.,” Circ. Cardiovasc. Interv., vol. 7, no. 6, pp. 777–786, Dec.

E. Cerrato et al. 2021. “Antiplatelet therapy in patients with conservatively managed spontaneous coronary artery dissection from the multicentre DISCO registry.,” Eur. Heart J., vol. 42, no. 33, pp. 3161–3171, Aug.

D. K. Arnett et al. 2019. “2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.,” Circulation, vol. 140, no. 11, pp. e563–e595, Sep.

H. Imran, A. Gaw, L. Stabile, N. Shah, G. Choudhary, and W.-C. Wu.2018. “Safety and Outcomes of Cardiac Rehabilitation for Patients with Spontaneous Coronary Artery Dissection.,” J. Rehabil. Med. Clin. Commun., vol. 1, p. 1000001.

J. Garg, K. Shah, S. Shah, M. K. Turagam, A. Natale, and D. Lakkireddy. 2021. “Implantable cardioverter-defibrillator in patients with spontaneous coronary artery dissection presenting with sudden cardiac arrest.,” J. Cardiovasc. Electrophysiol., vol. 32, no. 9, pp. 2595–2600, Sep.

Y. Inoue et al. 2021. “Clinical characteristics and treatment of Spontaneous Coronary Artery Dissection in Young Women Undergoing Percutaneous Coronary Intervention.,” J. Cardiovasc. Med. (Hagerstown)., vol. 22, no. 1, pp. 14–19, Jan.

A. Daoulah et al. 2021. “Spontaneous Coronary Artery Dissection: Does Being Unemployed Matter Insights from the GSCAD Registry.,” Curr. Cardiol. Rev., vol. 17, no. 3, pp. 328–339.

Downloads

Published

2023-02-28

Issue

Vol. 5 No. 1 (2023): J. Sains Kes.

Section

Review

Deprecated: json_decode(): Passing null to parameter #1 ($json) of type string is deprecated in /home/jskff/public_html/plugins/generic/citations/CitationsPlugin.php on line 68

How to Cite

[1]
S. Laksono and Y. Subandra, “Diseksi Spontan Arteri Koroner: Diagnosis dan Manajemen: Coronary Artery Spontaneous Dissection: Diagnosis and Management”, J. Sains. Kes, vol. 5, no. 1, pp. 64–69, Feb. 2023, Accessed: Jan. 10, 2026. [Online]. Available: https://jsk.ff.unmul.ac.id/index.php/JSK/article/view/352

Similar Articles

31-40 of 41

You may also start an advanced similarity search for this article.