| Title |
Webb and Pershall MSRS_2024 |
| Alternative Title |
Young Hearts at Risk: Exploring the Complexities of SCAD in Women Aged 19-30 |
| Creator |
Pershall, Mary; Webb, Susan |
| Collection Name |
Master of Radiologic Sciences |
| Description |
This qualitative analysis investigates 23 unique reports of SCAD in young women aged 19-30. Using a case study design, we explore the common contributing factors, diagnostic challenges, trends in management strategies, and outcomes in this population. |
| Abstract |
Spontaneous Coronary Artery Dissection (SCAD) is an uncommon yet increasingly recognized cause of ACS, particularly in young women. Despite progress in recognition, misdiagnosis remains a significant risk, given the relatively young age and absence of conventional atherosclerotic risk factors in SCAD patients. Early and accurate diagnosis is paramount due to substantial differences in management compared to atherosclerotic ACS. However, significant gaps persist in establishing high-quality, evidence-based guidelines for optimal SCAD treatment.; This qualitative analysis investigates 23 unique reports of SCAD in young women aged 19-30. Using a case study design, we explore the common contributing factors, diagnostic challenges, trends in management strategies, and outcomes in this population. With our findings, we aim to increase awareness, address existing knowledge gaps, and promote a more informed approach to managing SCAD in young women.; Of analyzed case reports, pregnancy-related SCAD (P-SCAD) was the most prevalent contributing factor, occurring in 12 patients. Young age, lack of traditional risk factors, and clinical presentations resembling other cardiac conditions were identified as the main diagnostic challenges. Medical management and revascularization were almost equally as common and were guided by hemodynamic stability, clinical presentation, and vessel distribution. Short-term and long-term outcomes varied widely, with factors such as delayed treatment, treatment type, and SCAD severity influencing results. Complications included cardiogenic shock, dissection extension, recurrent myocardial infarction, and reduced left ventricular function. These findings highlight the prevalence of AMI in young women, emphasizing the severity of postpartum SCAD (P-SCAD) and the necessity for tailored diagnostic and treatment approaches in this population. Enhanced awareness and specialized management strategies for SCAD in young women are imperative to are imperative to ensure timely and accurate diagnosis, improve treatment outcomes, and improve patient outcomes. |
| Subject |
Medicine; Women's health services; Diseases |
| Digital Publisher |
Stewart Library, Weber State University, Ogden, Utah, United States of America |
| Date |
2024 |
| Medium |
Thesis |
| Type |
Text |
| Access Extent |
1.3 MB; 189 page pdf |
| Rights |
The author has granted Weber State University Archives a limited, non-exclusive, royalty-free license to reproduce his or her theses, in whole or in part, in electronic or paper form and to make it available to the general public at no charge. The author retains all other rights. |
| Source |
University Archives Electronic Records: Master of Education. Stewart Library, Weber State University |
| OCR Text |
Show |
| Format |
application/pdf |
| ARK |
ark:/87278/s6fvdt5q |
| Setname |
wsu_smt |
| ID |
142815 |
| Reference URL |
https://digital.weber.edu/ark:/87278/s6fvdt5q |
