Clinical Outcomes of Cardiogenic Shock Due to Spontaneous Coronary Artery Dissection Versus Cardiogenic Shock Due to Coronary Artery Disease
Recommended Citation
Krittanawong C, Qadeer YK, Ang SP, Wang Z, Alam M, Sharma S, and Jneid H. Clinical Outcomes of Cardiogenic Shock due to Spontaneous Coronary Artery Dissection versus Cardiogenic Shock due to Coronary Artery Disease. Crit Pathw Cardiol 2024.
Document Type
Article
Publication Date
9-1-2024
Publication Title
Crit Pathw Cardiol
Abstract
Spontaneous coronary artery dissection (SCAD) can be treated conservatively. However, some SCAD patients can develop cardiogenic shock (CS). We evaluated the outcomes of SCAD-related CS using data from a national population-based cohort study from January 1, 2016, to December 30, 2019. In our study of 32,640 patients with SCAD, about 10.6% of patients presented with CS. We found that SCAD patients with CS had higher mortality and greater complications including use of mechanical circulatory devices, arrhythmias, respiratory support, and acute heart failure compared to those without CS. When comparing CS due to SCAD with that due to coronary artery disease, we found that although mortality rates were similar, those with CS due to SCAD were associated with higher risk of use of mechanical circulatory support, major bleeding, blood transfusion, and respiratory failure.
Medical Subject Headings
Humans; Shock, Cardiogenic; Male; Female; Middle Aged; Coronary Artery Disease; Coronary Vessel Anomalies; Vascular Diseases; Aged; Retrospective Studies; United States
PubMed ID
38467033
ePublication
ePub ahead of print
Volume
23
Issue
3
First Page
141
Last Page
148