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Nationwide observat...
Nationwide observational study of incidence, management and outcome of spontaneous coronary artery dissection: a report from the Swedish Coronary Angiography and Angioplasty register.
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- Wilander, Henrik (författare)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Pagonis, Christos (författare)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Venetsanos, Dimitrios (författare)
- Karolinska Institute
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- Swahn, Eva (författare)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Dworeck, Christian (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,SU Sahlgrenska, Dept Mol & Clin Med, Inst Med, Gothenburg, Sweden.,Sahlgrenska Academy
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- Johnston, Nina, 1961- (författare)
- Uppsala University,Uppsala universitet,Kardiologi,Uppsala Univ, Sweden
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- Jonasson, Lena (författare)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Kellerth, Thomas (författare)
- Linköping Univ, Fac Med, Dept Hlth Med & Caring Sci, Linköping, Sweden.;Dept Acute Cardiol, Karlstad, Region Varmland, Sweden.
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- Tornvall, Per (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Clin Sci & Educ Sodersjukhuset, Cardiol Unit, Stockholm, Sweden.
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- Yndigegn, Troels (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Sederholm Lawesson, Sofia (författare)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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(creator_code:org_t)
- 2022-06-01
- 2022
- Engelska.
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 12:6
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- The aim of this study was to conduct a nationwide all comer description of incidence, contemporary management and outcome in Swedish spontaneous coronary artery dissection (SCAD) patients. The incidence of SCAD as well as the management and outcome of these patients is not well described.A nationwide observational study.All patients with SCAD registered in the Swedish Coronary Angiography and Angioplasty Register from 2015 to 2017 were included. The index angiographies of patients with registered SCAD were re-evaluated at each centre to confirm the diagnosis. Patients with non-SCAD myocardial infarction (MI) (n=32 601) were used for comparison.Outcomes included all-cause mortality, reinfarction or acute coronary reangiography.This study found 147 SCAD patients, rendering an incidence of 0.74 per 100 000 per year and a prevalence of 0.43% of all MIs. The average age was 52.9 years, 75.5% were women and 47.6% presented with ST-segment elevation MI. Median follow-up time for major adverse cardiac event was 17.3 months. Percutaneous coronary intervention was attempted in 40.1% of SCAD patients and 30.6% received stent. The use of antithrombotic agents was similar between the groups and there was no difference regarding outcomes, 10.9% vs 13.4%, p=0.75. Mortality was lower in SCAD patients, 2.7% vs 8.0%, p=0.03, whereas SCAD patients more often underwent acute reangiography, 9.5% vs 4.6%, p<0.01.In this nationwide, all comer Swedish study, the overall incidence of SCAD was low, including 25% men which is more and in contrast to previous studies. Compared with non-SCAD MI, SCAD patients were younger, with lower cardiovascular risk burden, yet suffered substantial mortality and morbidity and more frequently underwent acute coronary reangiography.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Angioplasty
- Coronary Angiography
- adverse effects
- Coronary Vessel Anomalies
- Coronary Vessels
- Female
- Humans
- Incidence
- Male
- Middle Aged
- Myocardial Infarction
- epidemiology
- etiology
- therapy
- Sweden
- epidemiology
- Vascular Diseases
- congenital
- Myocardial infarction
- Coronary intervention
- Ischaemic heart disease
- Myocardial infarction
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
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BMJ open
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Till lärosätets databas
- Av författaren/redakt...
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Wilander, Henrik
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Pagonis, Christo ...
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Venetsanos, Dimi ...
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Swahn, Eva
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Dworeck, Christi ...
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Johnston, Nina, ...
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Jonasson, Lena
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Kellerth, Thomas
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Tornvall, Per
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Yndigegn, Troels
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Sederholm Lawess ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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BMJ open
- Av lärosätet
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Göteborgs universitet
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Karolinska Institutet
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Uppsala universitet
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Linköpings universitet
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Lunds universitet