Журнал тромбоза и кровообращения: открытый доступ

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A New Score System for Diagnosis of Spontaneous Coronary Artery

Dario Buccheria*

Back in 1931 Pretty has published the first reported case of spontaneous coronary artery dissection (SCAD) in a 42-year old woman suddenly death due to a rupture of right coronary artery (RCA) atheroma [1]. Eighty-five years later, much has been known but there is much more to discover yet. In the Literature, there are numerous cases of patient clinically presenting with myocardial infarction (MI), acute coronary syndrome (ACS) or vasospastic angina, in the meanings of “X syndrome”, primary angina or Printzmetal variant showing angiographic non-obstructive coronary artery disease (NOCAD). According to previous studies, NOCAD is associated with a rate of major adverse cardiovascular events equal to obstructive CAD