Publication: Ventricular Arrhythmias in Patients with Spontaneous Coronary Artery Dissection
dc.contributor.author | Alsheikh-Ali, Alawi A. | |
dc.date.accessioned | 2021-12-27T06:30:08Z | |
dc.date.available | 2021-12-27T06:30:08Z | |
dc.date.issued | 2020 | |
dc.description.abstract | Background: Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndrome in young women, with a wide clinical spectrum of severity. Ventricular arrhythmia (VA) can occur and worsen prognosis. The current study compared in-hospital and follow-up adverse cardiovascular events in patients with and without VA at presentation. Methods: Eighty-three cases of SCAD were collected retrospectively from 4 Gulf countries (KSA, UAE, Kuwait, and Bahrain) during the period from January 2011 to December 2017. We divided the patients into 2 groups: those with and without VA at presentation. VA was defined as ventricular tachycardia and/or ventricular fibrillation. In-hospital (recurrent VA, cardiogenic shock, death, implantable cardioverter-defibrillator placement, dissection extension) and follow-up (MI, de novo SCAD, death, spontaneous superior mesenteric artery dissection) events were compared among the 2 groups. Results: The median age of patients in the study was 44 (37–55) years. Fortytwo (51%) were women. VA occurred in 10 (12%) patients in the first 24-hour of hospitalization, and 5 (50%) of those patients had recurrent in-hospital VA. Among those with recurrent VA, 1 died during hospitalization and 1 died within the first year following hospital discharge. Conclusions: In-hospital adverse cardiovascular events were significantly more frequent for patients with SCAD who presented with VA. However, follow-up events were not statistically significant between those with and without VA at presentation. | en_US |
dc.identifier.other | 204-2020.109 | |
dc.identifier.uri | https://repository.mbru.ac.ae/handle/1/613 | |
dc.language.iso | en | en_US |
dc.subject | Gulf | en_US |
dc.subject | Ventricular arrhythmias | en_US |
dc.subject | SCAD | en_US |
dc.title | Ventricular Arrhythmias in Patients with Spontaneous Coronary Artery Dissection | en_US |
dc.title.alternative | Findings from the Gulf Spontaneous Coronary Artery Dissection (Gulf SCAD) Registry | en_US |
dc.type | Article | en_US |
dspace.entity.type | Publication | en_US |
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