ArticleEuropean heart journal2020
Chronic infarct size after spontaneous coronary artery dissection: implications for pathophysiology and clinical management.
Article in European heart journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 54 citations in OpenAlex.
- Myocardial Late Enhancement With Photon-Counting Detector CT in Spontaneous Coronary Artery Dissection: Prospective Comparison With Cardiac MRI.Investigative radiology · 2026Article
- Spontaneous coronary artery dissection in an underrepresented region: insights from the Serbian (RS) SCAD registry.Frontiers in cardiovascular medicine · 2026Article
- Exploration of Spontaneous Coronary Artery Dissection: Pathophysiology, Diagnosis, Management, and Clinical Implications.Reviews in cardiovascular medicine · 2025Review
- Photon-counting detector computed tomography compared with cardiac magnetic resonance imaging for myocardial extracellular volume quantification in spontaneous coronary artery dissection.Scientific reports · 2025Article
- Interventional Management of Intracoronary Dissection/Hematoma: A Comprehensive Review.Current cardiology reports · 2025Review
- In-hospital and long-term outcomes in spontaneous coronary artery dissection with concurrent cardiac arrest: Systematic review and meta-analysis.Heart rhythm O2 · 2025Article
- Pregnancy-Related Cardiovascular Diseases: A Radiological Overview.Journal of cardiovascular development and disease · 2025Review
- Beyond the Norm: Decoding Spontaneous Coronary Artery Dissection as an Unusual Cause of Acute Coronary Syndrome.HCA healthcare journal of medicine · 2025Review
- Cardiac ultrasomics for acute myocardial infarction risk stratification and prediction of all-cause mortality: a feasibility study.Echo research and practice · 2024Article
- Review
- Review
- Society for Cardiovascular Magnetic Resonance 2022 Cases of SCMR case series.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024Review
- Update on sex specific risk factors in cardiovascular disease.Frontiers in cardiovascular medicine · 2024Review
- Resource efficient aortic distensibility calculation by end to end spatiotemporal learning of aortic lumen from multicentre multivendor multidisease CMR images.Scientific reports · 2023Article
- A multivessel spontaneous coronary artery dissection presented with an acute coronary syndrome that was conservatively managed. A case report.Radiology case reports · 2023Article
- Chronic or Changeable Infarct Size after Spontaneous Coronary Artery Dissection.Diagnostics (Basel, Switzerland) · 2023Article
- The follow-up of myocardial injury and left ventricular function after spontaneous coronary artery dissection.Frontiers in cardiovascular medicine · 2023Review
- Differences in left ventricular myocardial function and infarct size in female patients with ST elevation myocardial infarction and spontaneous coronary artery dissection.Frontiers in cardiovascular medicine · 2023Article
- Multimodality Imaging Approach to Spontaneous Coronary Artery Dissection.Journal of clinical medicine · 2022Review
- Pathophysiology, Diagnosis and Treatment of Spontaneous Coronary Artery Dissection in Peripartum Women.Journal of clinical medicine · 2022Review
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Authors and funding
23 authors at 8 institutions in 3 countries.
Funding
Abstract
aimsTo report the extent and distribution of myocardial injury and its impact on left ventricular systolic function with cardiac magnetic resonance imaging (CMR) following spontaneous coronary artery dissection (SCAD) and to investigate predictors of myocardial injury. METHODS AND
resultsOne hundred and fifty-eight angiographically confirmed SCAD-survivors (98% female) were phenotyped by CMR and compared in a case-control study with 59 (97% female) healthy controls (44.5 ± 8.4 vs. 45.0 ± 9.1 years). Spontaneous coronary artery dissection presentation was with non-ST-elevation myocardial infarction in 95 (60.3%), ST-elevation myocardial infarction (STEMI) in 52 (32.7%), and cardiac arrest in 11 (6.9%). Left ventricular function in SCAD-survivors was generally well preserved with small reductions in ejection fraction (57 ± 7.2% vs. 60 ± 4.9%, P < 0.01) and increases in left ventricular dimensions (end-diastolic volume: 85 ± 14 mL/m2 vs. 80 ± 11 mL/m2, P < 0.05; end-systolic volume: 37 ± 11 mL/m2 vs. 32 ± 7 mL/m2, P <0.01) compared to healthy controls. Infarcts were small with few large infarcts (median 4.06%; range 0-30.9%) and 39% having no detectable late gadolinium enhancement (LGE). Female SCAD patients presenting with STEMI had similar sized infarcts to female Type-1 STEMI patients age <75 years. Multivariate modelling demonstrated STEMI at presentation, initial TIMI 0/1 flow, multivessel SCAD, and a Beighton score >4 were associated with larger infarcts [>10% left ventricular (LV) mass].
conclusionThe majority of patients presenting with SCAD have no or small infarctions and preserved ejection fraction. Patients presenting with STEMI, TIMI 0/1 flow, multivessel SCAD and those with features of connective tissue disorders are more likely to have larger infarcts.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.