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. Author manuscript; available in PMC: 2018 May 17.
Published in final edited form as: Circulation. 2018 Feb 22;137(19):e523–e557. doi: 10.1161/CIR.0000000000000564

Table 1.

Angiographic Prevalence of SCAD in ACS Cohorts

Reference Year Patients With SCAD, n SCAD Prevalence as a Proportion of All ACS Cases, % Women Among SCAD Cases, % PA-SCAD, % SCAD Prevalence in Subgroups With ACS Methods, Population, Inclusion Criteria
Vanzetto et al31 2009 23 0.2 (0.6 women, 0.07 men) 74 0 8.7% SCAD among ACS in women ≤50 y Systematic retrospective review of 11 605 angiograms
Included type 1 SCAD only
Atherosclerosis-related coronary dissection not excluded
Mortensen et al30 2009 22 2.0 77 12 NR Retrospective search for coded diagnoses in database of 32 969 angiograms; reviewed only those with prior SCAD diagnosis
Alfonso and Bastante14 2014 27 0.16 85 3.7 NR Retrospective search for coded diagnoses among 16 813 first angiograms (2004–2010)
Saw et al15 2014 16 NR 100 NR 24.2% SCAD among ACS in women ≤50 y Retrospective review of 177 angiograms in women ≤50 y representing 9% of angiograms (n=7605) performed during the study period (2009–2011)
Rashid et al16 2016 21 1.7 95.2 NR 22.5% SCAD among ACS in women ≤60 y Retrospective search for coded diagnoses among 1332 angiograms (2012–2013)
Nakashima et al11 2016 63 0.31 94 8.1 35% SCAD among ACS in women ≤50 y Retrospective review of 20 195 angiograms (2000–2013)
Excluded atherosclerosis-related coronary dissection
Included type 2 SCAD
Separate analysis for women ≤50 y with ACS (n=45)
Nishiguchi et al32 2016 13 4 53.8 NR NR 326 Selected ACS patients undergoing OCT (2008–2012)
Atherosclerosis-related coronary dissection not excluded

ACS indicates acute coronary syndrome; NR, not reported; OCT, optical coherence tomography; PA-SCAD, pregnancy-associated spontaneous coronary artery dissection; and SCAD, spontaneous coronary artery dissection.