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VIDEO: ‘Harder look’ required in patients with an ACS but no obstructive disease
CHICAGO — Jennifer Ann Tremmel, MD, an interventional cardiologist at Stanford University Medical Center, discusses alternative diagnoses in ACS in patients demonstrating no apparent obstructive disease.
“These are really the patients who we see a lot and … we’re not sure what to do with them,” she said.
Tremmel covers non-obstructive plaque rupture, spasm, spontaneous coronary artery dissection, takotsubo cardiomyopathy and myocardial bridging, describing specific steps clinicians might take to help determine a diagnosis and manage patients moving forward.
“We need to look harder in these cases, as opposed to saying ‘the coronary looks normal, everything is fine’ because there is something generally going on,” she said.