Spontaneous Coronary Artery Dissection Report of 3 Cases and Literature Review Hormonal, Autoimmune, Morphological Factors

dc.authorid0000-0002-9475-4916
dc.authorid0000-0001-8343-1153
dc.authorid0000-0002-9916-5109
dc.authorscopusid55227343200
dc.authorscopusid35104376600
dc.authorscopusid26027573100
dc.authorscopusid57225320454
dc.authorscopusid8520157000
dc.authorscopusid35101303000
dc.authorscopusid55543809500
dc.authorwosidMELEZ, İpek ESEN/AAX-4943-2020
dc.authorwosidDaş, Taner/AAG-2326-2022
dc.authorwosidArslan, Murat Nihat N/X-7900-2018
dc.authorwosidAkcay, Arzu/ABH-4540-2020
dc.contributor.authorMelez, Ipek Esen
dc.contributor.authorArslan, Murat Nihat
dc.contributor.authorMelez, Deniz Oguzhan
dc.contributor.authorAkcay, Arzu
dc.contributor.authorBüyük, Yalçın
dc.contributor.authorAvşar, Abdullah
dc.contributor.authorSam, Bülent
dc.date.accessioned2022-05-11T14:37:05Z
dc.date.available2022-05-11T14:37:05Z
dc.date.issued2015
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Adli Tıp Ana Bilim Dalı
dc.description.abstractThe number of cases with spontaneous coronary artery dissection (SCAD) is considered to be being underestimated because of a large amount of SCAD leading to sudden death without previous diagnosis. Besides, not only in clinics but also in autopsy practice, correct diagnosis of SCAD is important to prevent forensic malpractice. The article is intended to discuss the pathological findings through the forensic point of view for improving the malpractice expertise in scope of clinicians' timely antemortem diagnosis according to risk factors and in scope of forensic pathologists' the cause of death determination ability according to macroscopical and microscopical findings of the autopsy. In 3 cases reported, the main characteristics were the female sex, pregnancy history and a sudden death without any trauma. However, although there are many women giving birth or using oral contraceptives, only some of them are facing with SCAD. This suggests the possibility of some hereditary factors, whereas hereditary characteristics may be understood in many different ways like hormone-releasing regulating mechanisms as well as immunity, morphology, or any other mechanism. For instance, autoimmunity has been also a hereditary underlying factor for vessel injury considered in presented cases.
dc.identifier.doi10.1097/PAF.0000000000000167
dc.identifier.endpage192
dc.identifier.issn0195-7910
dc.identifier.issn1533-404X
dc.identifier.issue3en_US
dc.identifier.pmid26010056
dc.identifier.scopus2-s2.0-84940385208
dc.identifier.scopusqualityQ3
dc.identifier.startpage188
dc.identifier.urihttps://doi.org/10.1097/PAF.0000000000000167
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8563
dc.identifier.volume36
dc.identifier.wosWOS:000360530200014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKumral, Bahadır
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofAmerican Journal of Forensic Medicine and Pathology
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectcoronary artery dissection
dc.subjectautopsy
dc.subjectpregnancy
dc.subjectautoimmunity
dc.subjectmorphology
dc.subjectmalpractice
dc.subjectSystemic-Lupus-Erythematosus
dc.subjectSudden-Death
dc.subjectAcquired Autoimmunity
dc.subjectThyroid Autoimmunity
dc.subjectTerm Prognosis
dc.subjectDisease
dc.subjectAtherosclerosis
dc.subjectPathogenesis
dc.subjectPathophysiology
dc.subjectInflammation
dc.titleSpontaneous Coronary Artery Dissection Report of 3 Cases and Literature Review Hormonal, Autoimmune, Morphological Factors
dc.typeReview Article

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