Podcast 680: Coronary Artery Dissection

Podcast 680: Coronary Artery Dissection

Contributor: Adam Barkin, MD

Educational Pearls:

  • Spontaneous coronary artery dissection (SCAD) is the most common cause of acute MI in women under 50 years old
  • Risk factors include fibromuscular dysplasia, extreme exercise, stress, pregnancy, and recent birth
  • Diagnosed in cath lab but medically managed and usually do not get a stent
  • Treated with dual antiplatelet therapy and beta-blockers

References

Yip A, Saw J. Spontaneous coronary artery dissection-A review. Cardiovasc Diagn Ther. 2015;5(1):37-48. doi:10.3978/j.issn.2223-3652.2015.01.08

Janssen EBNJ, de Leeuw PW, Maas AHEM. Spontaneous coronary artery dissections and associated predisposing factors: a narrative review. Neth Heart J. 2019;27(5):246-251. doi:10.1007/s12471-019-1235-4

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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Podcast 664: Rabies Prophylaxis

Podcast 664: Rabies Prophylaxis

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Podcast 663:  Down Syndrome

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UnfilterED #13: Dr. Nadia Tremonti

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Podcast 662: Droperidol for Sedation

Podcast 662: Droperidol for Sedation

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Podcast 661: Scalded Skin Syndrome

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Podcast 660: Rhabdomyolysis

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Podcast 659: Racial Bias in Pulse Oximetry

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Contributor:  Aaron Lessen, MD Educational Pearls: Study in NEJM looked at occult hypoxemia, when oxygen saturation reads at >92% when the actual saturation is Rate of occult hypoxemia was 3 times h...

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Podcast 658: Febrile Seizures

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Contributor: Peter Bakes, MD Educational Pearls: Febrile Seizure clinical criteria 6 months - 5 years of age Rapid rise in temp No preexisting seizure disorder No other explanation for the seizure...

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