Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection
Sanad, A., Almubarak, M., Alanzi, A., El-Shetry, M., Darwish, A., Alshammari, A., Nada, F. (2025). Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection. EKB Journal Management System, 28(11), 76-84. doi: 10.21608/scumj.2025.425401.1734
Ahmed M. Sanad; Muhannad Almubarak; Ali F. Alanzi; Mohamed S. El-Shetry; Ahmed Darwish; Abdulaziz M. Alshammari; Fathy A. Nada. "Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection". EKB Journal Management System, 28, 11, 2025, 76-84. doi: 10.21608/scumj.2025.425401.1734
Sanad, A., Almubarak, M., Alanzi, A., El-Shetry, M., Darwish, A., Alshammari, A., Nada, F. (2025). 'Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection', EKB Journal Management System, 28(11), pp. 76-84. doi: 10.21608/scumj.2025.425401.1734
Sanad, A., Almubarak, M., Alanzi, A., El-Shetry, M., Darwish, A., Alshammari, A., Nada, F. Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection. EKB Journal Management System, 2025; 28(11): 76-84. doi: 10.21608/scumj.2025.425401.1734

Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection

Suez Canal University Medical Journal
Volume 28, Issue 11, November 2025, Pages 76-84    PDF (346.6 K)
Document Type: Original Article
DOI: 10.21608/scumj.2025.425401.1734
Authors
Ahmed M. Sanad* 1; Muhannad Almubarak2; Ali F. Alanzi3; Mohamed S. El-Shetry4; Ahmed Darwish4; Abdulaziz M. Alshammari5; Fathy A. Nada1
1Department of Cardiovascular Medicine, Faculty of Medicine Suez Canal University, Ismailia, Egypt.
2Department of Internal medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
3King Abdulaziz Specialist Hospital, Aljouf Cardiac Center, Aljouf, Saudi Arabia.
4Department of Cardiovascular Medicine, Faculty of Medicine Zagazig University, Sharqia, Egypt.
5Department of Cardiac surgery, prince Mohamed Medical city, Aljouf Health Cluster, Saudi Arabia.
Abstract
Background: Spontaneous coronary artery dissection (SCAD) remains a rare, but challenging entity. SCAD may occur as an isolated phenomenon or associated with coronary artery disease. Aim: The aim of our study is to determine early outcomes in patients with SCAD. Methods: Prospective descriptive study, 44 patients were diagnosed as SCAD with angiographic assessment, presentation and early mortality. Results: Mean age was 49.3 ± 10.4 years and 66% were women with 1 or fewer cardiovascular risk factors. Most patients presented with STEMI (39%) versus 30% for NSTEMI, 9% UA and 4% presented by heart failure. The most frequent culprit lesion was the left anterior descending (LAD) artery (70%); proximal to mid segments were the most affected (80%). Majority of patients were treated conservatively without revascularization. The in-hospital and 30-day mortality was about 7%. Conclusion: SCAD varies according to clinical presentation and mostly found in females. Medical treatment offers a valuable alternative in low-risk cases
Keywords
Myocardial Infarction; Woman; Acute Coronary Syndrome; Coronary Artery Disease
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