Spontaneous Coronary Artery Dissection as a Cause of Acute Myocardial Infarction in Young

Spontaneous Coronary Artery Dissection as a Cause of Acute Myocardial Infarction in Young Female Population: A Single-center Study

Pei-Na Meng;Chen Xu;Wei You;Zhi-Ming Wu;Du-Jiang Xie;Hang Zhang;Chang Pan;Fei Ye

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2017(130)013

【摘要】Background:Spontaneous coronary artery dissection (SCAD) is a nonatherosclerotic but a rare and extremely dangerous clinical entity,it has a high prevalence in young female population with acute myocardial infarction (AMI).The previous reports were restricted to other countries' population,but rare in China.Hence,this study aimed to focus on the characteristics of SCAD as a cause of young female AMI population in Jiangsu,China.Methods:This study enrolled young female AMI patients aged ＜50 years who underwent coronary angiography (CAG) and intracoronary imaging in our center between January 2013 and December 2016.Their clinical presentations,risk factors,and CAG characteristics were analyzed.Results:A total of 60 young female AMI (＜7 days) patients were enrolled.From their CAG and intracoronary imaging results,the prevalence of SCAD in young female AMI population was 35％ (21/60),the prevalence of coronary atherosclerostic heart disease was 65％ (39/60).In the SCAD group,43％ (9/21) presented