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PubbliTesi - La Tesi
DIAGNOSIS, ACUTE MANAGEMENT AND FOLLOW-UP OF SPONTANEOUS CORONARY ARTERY DISSECTION INFARCTION: THE RESULTS OF THE ITALIAN MULTICENTRE REGISTER DISCO
Scheda Sintetica
Autore: Federico Giacobbe
Relatore: Matteo Anselmino
Università: Università degli Studi di Torino
Facoltà: Facoltà di Medicina e Chirurgia
Corso: Medicina e Chirurgia (V.O.), Orbassano
Data di Discussione: 17/07/2019
Voto: 110 cum laude
Disciplina: Malattie dell’apparato cardiovascolare
Tipo di Tesi: Sperimentale
Altri Relatori: Enrico Cerrato
Lingua: Inglese
Grande Area: Area Sanitaria
Dignità di Stampa: Si
Descrizione:
BACKGROUND:
Spontaneous coronary artery dissection (SCAD) is a challenging clinical scenario and represents an increasingly studied cause of acute coronary syndrome (ACS) in young people, especially women. Predisposing as well as precipitating factors have been identified in the most recent reports on this disease: notably fibromuscular dysplasia, hormonal alterations (menopause or iatrogenic intake) and anxiety/depression are the most common predisposing conditions whereas emotional stress or physical activity are often reported as trigger events.
In–hospital management (conservative versus interventional strategy) and medical therapy at discharge are to date a matter of debate since no randomized control trial is available. Regardless, medical therapy has recently been indicated in literature as preferred treatment given the high rate of PCI complications and SCAD tendency to spontaneous healing.
METHODS:
DISCO (DIssezioni Spontanee COronariche) is an italian, multicenter registe ...