Pregnancy and Spontaneous Coronary Artery Dissection: Lessons From Survivors and Nonsurvivors

Nathan Chan^#¹, Diluka Premawardhana^#¹, Abtehale Al-Hussaini¹, Alice Wood¹, Vasiliki Bountziouka¹, Deevia Kotecha¹, Eva Swahn², Henning Palmefors², Christos Pagonis², Sofia Sederholm Lawesson², Jacek Kądziela³, Marcos Garcia-Guimarães^{4

5}, Fernando Alfonso⁴, Javier Escaned⁶, Fernando Macaya⁶, Melisa Santás⁷, Enrico Cerrato^{8

9}, Angela H E M Maas¹⁰, Ota Hlinomaz¹¹, Nigussie Bogale¹², Bernardo Cortese^{13

14}, Mavis Cheng^{1

15}, Aidan Bolger¹, Shazia T Hussain¹, Nilesh J Samani¹, Marian Knight¹⁶, Matthew Cauldwell^#, David Adlam^#¹

Affiliations

¹ Department of Cardiovascular Sciences and NIHR Leicester Biomedical Research Centre, UK (N.C., D.P., A.A., A.W., V.B., D.K., M.C., A.B., S.T.H., N.J.S., D.A.).
² Department of Cardiology and Department of Health, Medicine and Caring Sciences, Linköping University, Sweden (E.S., H.P., C.P., S.S.L.).
³ Department of Invasive Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland (J.K.).
⁴ Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain (M.G.-G., F.A.).
⁵ Department of Cardiology, Hospital del Mar, Barcelona, Spain (M.G.-G.).
⁶ Hospital Clínico San Carlos, IdISSC, Universidad Complutense, Madrid, Spain (J.E., F.M.).
⁷ Hospital Universitario Lucus Augusti, Lugo, Spain (M.S.).
⁸ Interventional Cardiology Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy (E.C.).
⁹ Rivoli Infermi Hospital, Rivoli (Turin), Italy (E.C.).
¹⁰ Department of Cardiology, Women's Cardiac Health, Radboud University Medical Center, Nijmegen, The Netherlands (A.H.E.M.M.).
¹¹ International Clinical Research Centre, St Anne's University Hospital and Masaryk University, Brno, Czech Republic (O.H.).
¹² Department of Heart Disease, Haukeland University Hospital, Bergen, Norway (N.B.).
¹³ Cardiovascular Research Team, Clinica Polispecialistica San Carlo, Milan, Italy (B.C.).
¹⁴ Fondazione Ricerca e Innovazione Cardiovascolare, Milan, Italy (B.C.).
¹⁵ Department of Obstetrics and Maternal Medicine, St George's Hospital, London, UK (M.C.).
¹⁶ National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, UK (M.K.).

^# Contributed equally.

PMID: 35656808
PMCID: PMC9241656
DOI: 10.1161/CIRCULATIONAHA.122.059635

Pregnancy and Spontaneous Coronary Artery Dissection: Lessons From Survivors and Nonsurvivors

Nathan Chan et al. Circulation. 2022.

. 2022 Jul 5;146(1):69-72.

doi: 10.1161/CIRCULATIONAHA.122.059635. Epub 2022 Jun 3.

Authors

Affiliations

¹ Department of Cardiovascular Sciences and NIHR Leicester Biomedical Research Centre, UK (N.C., D.P., A.A., A.W., V.B., D.K., M.C., A.B., S.T.H., N.J.S., D.A.).
² Department of Cardiology and Department of Health, Medicine and Caring Sciences, Linköping University, Sweden (E.S., H.P., C.P., S.S.L.).
³ Department of Invasive Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland (J.K.).
⁴ Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain (M.G.-G., F.A.).
⁵ Department of Cardiology, Hospital del Mar, Barcelona, Spain (M.G.-G.).
⁶ Hospital Clínico San Carlos, IdISSC, Universidad Complutense, Madrid, Spain (J.E., F.M.).
⁷ Hospital Universitario Lucus Augusti, Lugo, Spain (M.S.).
⁸ Interventional Cardiology Unit, San Luigi Gonzaga University Hospital, Orbassano, Italy (E.C.).
⁹ Rivoli Infermi Hospital, Rivoli (Turin), Italy (E.C.).
¹⁰ Department of Cardiology, Women's Cardiac Health, Radboud University Medical Center, Nijmegen, The Netherlands (A.H.E.M.M.).
¹¹ International Clinical Research Centre, St Anne's University Hospital and Masaryk University, Brno, Czech Republic (O.H.).
¹² Department of Heart Disease, Haukeland University Hospital, Bergen, Norway (N.B.).
¹³ Cardiovascular Research Team, Clinica Polispecialistica San Carlo, Milan, Italy (B.C.).
¹⁴ Fondazione Ricerca e Innovazione Cardiovascolare, Milan, Italy (B.C.).
¹⁵ Department of Obstetrics and Maternal Medicine, St George's Hospital, London, UK (M.C.).
¹⁶ National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, UK (M.K.).

^# Contributed equally.

PMID: 35656808
PMCID: PMC9241656
DOI: 10.1161/CIRCULATIONAHA.122.059635

No abstract available

Keywords: coronary vessels; maternal death; myocardial infarction; pregnancy.

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References

1. Adlam D, Alfonso F, Maas A, Vrints C; Writing Committee. European Society of Cardiology, Acute Cardiovascular Care Association, SCAD study group: a position paper on spontaneous coronary artery dissection. Eur Heart J. 2018;39:3353–3368. doi: 10.1093/eurheartj/ehy080 - PMC - PubMed
1. Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, Ganesh SK, Gulati R, Lindsay ME, Mieres JH, et al. ; American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 2018;137:e523–e557. doi: 10.1161/CIR.0000000000000564 - PMC - PubMed
1. Hayes SN, Tweet MS, Adlam D, Kim ESH, Gulati R, Price JE, Rose CH. Spontaneous coronary artery dissection: JACC state-of-the-art review. J Am Coll Cardiol. 2020;76:961–984. doi: 10.1016/j.jacc.2020.05.084 - PubMed
1. Phan D, Clare R, Duan L, Kim C, Moore N, Lee MS. Characteristics and outcomes of patients with spontaneous coronary artery dissection who suffered sudden cardiac arrest. J Interv Card Electrophysiol. 2021;60:77–83. doi: 10.1007/s10840-019-00695-9 - PubMed
1. Knight M, Tuffnell D. A view from the UK: the UK and Ireland confidential enquiry into maternal deaths and morbidity. Clin Obstet Gynecol. 2018;61:347–358. doi: 10.1097/GRF.0000000000000352 - PubMed

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Pregnancy and Spontaneous Coronary Artery Dissection: Lessons From Survivors and Nonsurvivors

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Pregnancy and Spontaneous Coronary Artery Dissection: Lessons From Survivors and Nonsurvivors

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