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Vol 79, Supp. III (2021): Zeszyty Edukacyjne 3/2021
Opinie i stanowiska ekspertów
Published online: 2021-09-16

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Diagnostyka i postępowanie w spontanicznym rozwarstwieniu tętnicy wieńcowej. Opinia ekspertów Asocjacji Interwencji Sercowo-Naczyniowych Polskiego Towarzystwa Kardiologicznego

Jacek Kądziela1, Janusz Kochman2, Marek Grygier3, Ilona Michałowska4, Mariusz Tomaniak2, Wojciech Wojakowski5, Aleksander Araszkiewicz3, Maciej Dąbrowski1, Michał Hawranek6, Zenon Huczek2, Paweł Kralisz7, Jacek Kusa8, Tomasz Roleder9, Andrzej Januszewicz10, Adam Witkowski1, David Adlam11, Stanisław Bartuś12
DOI: 10.33963/v.kp.85932

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References

  1. Saw J, Starovoytov A, Humphries K, et al. Canadian spontaneous coronary artery dissection cohort study: in-hospital and 30-day outcomes. Eur Heart J. 2019; 40(15): 1188–1197.
    CrossRefPubMed
  2. Clare R, Duan L, Phan D, et al. Characteristics and clinical outcomes of patients with spontaneous coronary artery dissection. J Am Heart Assoc. 2019; 8(10): e012570.
    CrossRefPubMed
  3. Krittanawong C, Kumar A, Virk HU, et al. Recurrent spontaneous coronary artery dissection in the United States. Int J Cardiol. 2020; 301: 34–37.
    CrossRefPubMed
  4. Hayes SN, Tweet MS, Adlam D, et al. Spontaneous coronary artery dissection: JACC state-of-the-art review. J Am Coll Cardiol. 2020; 76(8): 961–984.
    CrossRefPubMed
  5. Adlam D, Alfonso F, Maas A, et al. Writing Committee. European Society of Cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection. Eur Heart J. 2018; 39(36): 3353–3368.
    CrossRefPubMed
  6. Hayes SN, Kim ESH, Saw J, et al. American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 2018; 137(19): e523–e557.
    CrossRefPubMed
  7. Gad MM, Mahmoud AN, Saad AM, et al. Incidence, clinical presentation, and causes of 30-day readmission following hospitalization with spontaneous coronary artery dissection. JACC Cardiovasc Interv. 2020; 13(8): 921–932.
    CrossRefPubMed
  8. García-Guimaraes M, Bastante T, Macaya F, et al. Spontaneous coronary artery dissection in Spain: clinical and angiographic characteristics, management, and in-hospital events. Rev Esp Cardiol (Engl Ed). 2021; 74(1): 15–23.
    CrossRefPubMed
  9. Kim ESH. Spontaneous coronary-artery dissection. N Engl J Med. 2020; 383(24): 2358–2370.
    CrossRefPubMed
  10. Jackson R, Al-Hussaini A, Joseph S, et al. Spontaneous coronary artery dissection: pathophysiological insights from optical coherence tomography. JACC Cardiovasc Imaging. 2019; 12(12): 2475–2488.
    CrossRefPubMed
  11. Waterbury TM, Tweet MS, Hayes SN, et al. Early natural history of spontaneous coronary artery dissection. Circ Cardiovasc Interv. 2018; 11(9): e006772.
    CrossRefPubMed
  12. Alfonso F, Paulo M, Gonzalo N, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography. J Am Coll Cardiol. 2012; 59(12): 1073–1079.
    CrossRefPubMed
  13. Paulo M, Sandoval J, Lennie V, et al. Combined use of OCT and IVUS in spontaneous coronary artery dissection. JACC Cardiovasc Imaging. 2013; 6(7): 830–832.
    CrossRefPubMed
  14. Nakashima T, Noguchi T, Haruta S, et al. Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction: a report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. Int J Cardiol. 2016; 207: 341–348.
    CrossRefPubMed
  15. Abreu G, Galvão Braga C, Costa J, et al. Spontaneous coronary artery dissection: A single-center case series and literature review. Rev Port Cardiol (Engl Ed). 2018; 37(8): 707–713.
    CrossRefPubMed
  16. Motreff P, Malcles G, Combaret N, et al. How and when to suspect spontaneous coronary artery dissection: novel insights from a single-centre series on prevalence and angiographic appearance. EuroIntervention. 2017; 12(18): e2236–e2243.
    CrossRefPubMed
  17. Nishiguchi T, Tanaka A, Ozaki Y, et al. Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome. Eur Heart J Acute Cardiovasc Care. 2016; 5(3): 263–270.
    CrossRefPubMed
  18. Inohara T, Saw J, Kohsaka S, et al. Treatment pattern and outcome of spontaneous coronary artery dissection in Japan. Int J Cardiol. 2020; 316: 13–18.
    CrossRefPubMed
  19. Saw J, Aymong E, Mancini GB, et al. Nonatherosclerotic coronary artery disease in young women. Can J Cardiol. 2014; 30(7): 814–819.
    CrossRefPubMed
  20. De Roeck F, Scott B, Convens C, et al. Spontaneous coronary artery dissection in young female acute coronary syndrome patients: a single-centre retrospective cohort study. Acta Cardiol. 2020 [Epub ahead of print]: 1–5.
    CrossRefPubMed
  21. Rashid HNZ, Wong DTL, Wijesekera H, et al. Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome--A single-centre Australian experience. Int J Cardiol. 2016; 202: 336–338.
    CrossRefPubMed
  22. Meng PN, Xu C, You W, et al. Spontaneous coronary artery dissection as a cause of acute myocardial infarction in young female population: a single-center study. Chin Med J (Engl). 2017; 130(13): 1534–1539.
    CrossRefPubMed
  23. Tweet MS, Hayes SN, Codsi E, et al. Spontaneous coronary artery dissection associated with pregnancy. J Am Coll Cardiol. 2017; 70(4): 426–435.
    CrossRefPubMed
  24. Balakrishnan K, Scott P, Oliver L. A confluence of circumstances: a case of IVF, extreme exercise and spontaneous coronary artery dissection. Int J Cardiol. 2016; 203: 76–77.
    CrossRefPubMed
  25. Saw J, Humphries K, Aymong E, et al. Spontaneous coronary artery dissection: clinical outcomes and risk of recurrence. J Am Coll Cardiol. 2017; 70(9): 1148–1158.
    CrossRefPubMed
  26. Saw J, Aymong E, Sedlak T, et al. Spontaneous coronary artery dissection: association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes. Circ Cardiovasc Interv. 2014; 7(5): 645–655.
    CrossRefPubMed
  27. Schifferdecker B, Pacifico L, Ramsaran EK, et al. Spontaneous coronary artery dissection associated with sexual intercourse. Am J Cardiol. 2004; 93(10): 1323–1324.
    CrossRefPubMed
  28. El-Sherief K, Rashidian A, Srikanth S. Spontaneous coronary artery dissection after intense weightlifting UCSF Fresno Department of Cardiology. Catheter Cardiovasc Interv. 2011; 78(2): 223–227.
    CrossRefPubMed
  29. Ijsselmuiden A, Verheye S. Cocaine-induced coronary artery dissection. JACC Cardiovasc Interv. 2009; 2(10): 1031.
    CrossRefPubMed
  30. Afzal AM, Sarmast SA, Weber NA, et al. Spontaneous coronary artery dissection in a 22-year-old man on lisdexamfetamine. Proc (Bayl Univ Med Cent). 2015; 28(3): 367–368.
    CrossRefPubMed
  31. Keir ML, Dehghani P. Corticosteroids and spontaneous coronary artery dissection: a new predisposing factor? Can J Cardiol. 2016; 32(3): 395.e7–395.e8.
    CrossRefPubMed
  32. Zacher J, May E, Horlitz M, et al. Binge drinking alcohol with caffeinated "energy drinks", prolonged emesis and spontaneous coronary artery dissection: a case report, review of the literature and postulation of a pathomechanism. Clin Res Cardiol. 2018; 107(10): 975–979.
    CrossRefPubMed
  33. Luong C, Starovoytov A, Heydari M, et al. Clinical presentation of patients with spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2017; 89(7): 1149–1154.
    CrossRefPubMed
  34. Cheung CC, Starovoytov A, Parsa A, et al. In-hospital and long-term outcomes among patients with spontaneous coronary artery dissection presenting with ventricular tachycardia/fibrillation. Heart Rhythm. 2020; 17(11): 1864–1869.
    CrossRefPubMed
  35. Phan D, Clare R, Duan L, et al. Characteristics and outcomes of patients with spontaneous coronary artery dissection who suffered sudden cardiac arrest. J Interv Card Electrophysiol. 2021; 60(1): 77–83.
    CrossRefPubMed
  36. Tweet MS, Eleid MF, Best PJM, et al. Spontaneous coronary artery dissection: revascularization versus conservative therapy. Circ Cardiovasc Interv. 2014; 7(6): 777–786.
    CrossRefPubMed
  37. Prakash R, Starovoytov A, Heydari M, et al. Catheter-induced iatrogenic coronary artery dissection in patients with spontaneous coronary artery dissection. JACC Cardiovasc Interv. 2016; 9(17): 1851–1853.
    CrossRefPubMed
  38. Saw J, Saw J. Coronary angiogram classification of spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2014; 84(7): 1115–1122.
    CrossRefPubMed
  39. Lettieri C, Zavalloni D, Rossini R, et al. Management and long-term prognosis of spontaneous coronary artery dissection. Am J Cardiol. 2015; 116(1): 66–73.
    CrossRefPubMed
  40. Tweet MS, Hayes SN, Pitta SR, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012; 126(5): 579–588.
    CrossRefPubMed
  41. Saw J, Starovoytov A, Zhao Y, et al. Clinical predictors of recurrent dissection after spontaneous coronary artery dissection. J Am Coll Cardiol. 2017; 69(11): 273.
    CrossRef
  42. Ten FM, Salazar CH, Perez-Vizcayno MJ, et al. P753 Feasibility and safety of intracoronary imaging in spontaneous coronary artery dissection. Eur Heart J. 2018; 39(Suppl 1): 123.
    CrossRef
  43. Alfonso F, Paulo M, Gonzalo N, et al. Diagnosis of spontaneous coronary artery dissection by optical coherence tomography. J Am Coll Cardiol. 2012; 59(12): 1073–1079.
    CrossRefPubMed
  44. Eleid MF, Tweet MS, Young PM, et al. Spontaneous coronary artery dissection: challenges of coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2018; 7(7): 609–613.
    CrossRefPubMed
  45. Tweet MS, Akhtar NJ, Hayes SN, et al. Spontaneous coronary artery dissection: acute findings on coronary computed tomography angiography. Eur Heart J Acute Cardiovasc Care. 2019; 8(5): 467–475.
    CrossRefPubMed
  46. Pozo-Osinalde E, García-Guimaraes M, Bastante T, et al. Characteristic findings of acute spontaneous coronary artery dissection by cardiac computed tomography. Coron Artery Dis. 2020; 31(3): 293–299.
    CrossRefPubMed
  47. Prakash R, Starovoytov A, Aymong E, et al. Angiographic healing of spontaneous coronary artery dissection. J Am Coll Cardiol. 2017; 69(11): 231.
    CrossRef
  48. Hassan S, Prakash R, Starovoytov A, et al. Natural history of spontaneous coronary artery dissection with spontaneous angiographic healing. JACC Cardiovasc Interv. 2019; 12(6): 518–527.
    CrossRefPubMed
  49. Main A, Prakash R, Starovoytov A, et al. Characteristics of extension and de novo recurrent spontaneous coronary artery dissection. EuroIntervention. 2017; 13(12): e1454–e1459.
    CrossRefPubMed
  50. Main A, Saw J. Percutaneous coronary intervention for the treatment of spontaneous coronary artery dissection. Interv Cardiol Clin. 2019; 8(2): 199–208.
    CrossRefPubMed
  51. Kotecha D, Premawardhana AD, Garcia-Guimaraes M, et al. A case control study of percutaneous coronary intervention in spontaneous coronary artery dissection. Heart. 2020; 106(Suppl 2): A26–A27.
  52. Lobo AS, Cantu SM, Sharkey SW, et al. Revascularization in patients with spontaneous coronary artery dissection and ST-segment elevation myocardial infarction. J Am Coll Cardiol. 2019; 74(10): 1290–1300.
    CrossRefPubMed
  53. Mahmood MM, Austin D. IVUS and OCT guided primary percutaneous coronary intervention for spontaneous coronary artery dissection with bioresorbable vascular scaffolds. Cardiovasc Revasc Med. 2017; 18(1): 53–57.
    CrossRefPubMed
  54. Osinalde EP, Macaya F, Camacho-Freire SJ, et al. Late results of bioabsorbable scaffolds implanted in spontaneous coronary artery dissection evaluated with computed tomography coronary angiography. Eur Heart J. 2020; 41(Suppl 2).
    CrossRef
  55. Alkhouli M, Cole M, Ling FS. Coronary artery fenestration prior to stenting in spontaneous coronary artery dissection. Catheter Cardiovasc Interv. 2016; 88(1): E23–E27.
    CrossRefPubMed
  56. Julià I, Tauron M, Muñoz-Guijosa C. Postpartum acute coronary syndrome due to intramural hematoma and coronary artery dissection. Thorac Cardiovasc Surg. 2013; 61(1): 85–87.
    CrossRefPubMed
  57. Jorge-Pérez P, García-González MJ, Ávalos-Pinto RM, et al. Spontaneous coronary dissection and cardiogenic shock requiring mechanical circulatory support in a non-transplant center. Int J Cardiol. 2016; 221: 629–630.
    CrossRefPubMed
  58. Páez M, Buisán F, Herrero E. Spontaneous dissection of the left coronary artery trunk during the postpartum period treated with revascularization surgery, ventricular assistance and a successful heart transplant. Acta Anaesthesiol Scand. 2007; 51(7): 960–961.
    CrossRefPubMed
  59. Al-Hussaini A, Abdelaty AM, Gulsin GS, et al. Chronic infarct size after spontaneous coronary artery dissection: implications for pathophysiology and clinical management. Eur Heart J. 2020; 41(23): 2197–2205.
    CrossRefPubMed
  60. Franco C, Starovoytov A, Heydari M, et al. Changes in left ventricular function after spontaneous coronary artery dissection. Clin Cardiol. 2017; 40(3): 149–154.
    CrossRefPubMed
  61. Chou AY, Prakash R, Rajala J, et al. The first dedicated cardiac rehabilitation program for patients with spontaneous coronary artery dissection: description and initial results. Can J Cardiol. 2016; 32(4): 554–560.
    CrossRefPubMed
  62. Bhatt DD, Kachru R, Gupta S, et al. Recurrent chest pain after treatment of spontaneous coronary artery dissection: an enigma. Indian Heart J. 2015; 67 Suppl 3: S18–S20.
    CrossRefPubMed
  63. Roura G, Ariza-Solé A, Rodriguez-Caballero IF, et al. Noninvasive follow-up of patients with spontaneous coronary artery dissection with CT angiography. JACC Cardiovasc Imaging. 2016; 9(7): 896–897.
    CrossRefPubMed
  64. Tweet MS, Gulati R, Williamson EE, et al. Multimodality imaging for spontaneous coronary artery dissection in women. JACC Cardiovasc Imaging. 2016; 9(4): 436–450.
    CrossRefPubMed
  65. Eleid MF, Guddeti RR, Tweet MS, et al. Coronary artery tortuosity in spontaneous coronary artery dissection: angiographic characteristics and clinical implications. Circ Cardiovasc Interv. 2014; 7(5): 656–662.
    CrossRefPubMed
  66. Tweet MS, Olin JW. Insights into spontaneous coronary artery dissection: can recurrence be prevented? J Am Coll Cardiol. 2017; 70(9): 1159–1161.
    CrossRefPubMed
  67. Ponikowski P, Voors A, Anker S, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Rev Esp Cardiol (English Edition). 2016; 69(12): 1167.
    CrossRef
  68. Collet JP, Thiele H, Barbato E, et al. ESC Scientific Document Group. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021; 42(14): 1289–1367.
    CrossRefPubMed
  69. Ibanez B, James S, Agewall S, et al. ESC Scientific Document Group. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018; 39(2): 119–177.
    CrossRefPubMed
  70. Gornik HL, Persu A, Adlam D, et al. First International Consensus on the diagnosis and management of fibromuscular dysplasia. Vasc Med. 2019; 24(2): 164–189.
    CrossRefPubMed
  71. Pate GE, Lowe R, Buller CE. Fibromuscular dysplasia of the coronary and renal arteries? Catheter Cardiovasc Interv. 2005; 64(2): 138–145.
    CrossRefPubMed
  72. Kok SN, Hayes SN, Cutrer FM, et al. Prevalence and clinical factors of migraine in patients with spontaneous coronary artery dissection. J Am Heart Assoc. 2018; 7(24): e010140.
    CrossRefPubMed
  73. Warchol-Celinska E, Prejbisz A, Dobrowolski P, et al. Systematic and multidisciplinary evaluation of fibromuscular dysplasia patients reveals high prevalence of previously undetected fibromuscular dysplasia lesions and affects clinical decisions: the ARCADIA-POL study. Hypertension. 2020; 75(4): 1102–1109.
    CrossRefPubMed
  74. Prasad M, Tweet MS, Hayes SN, et al. Prevalence of extracoronary vascular abnormalities and fibromuscular dysplasia in patients with spontaneous coronary artery dissection. Am J Cardiol. 2015; 115(12): 1672–1677.
    CrossRefPubMed
  75. Etminan N, Brown RD, Beseoglu K, et al. The unruptured intracranial aneurysm treatment score: a multidisciplinary consensus. Neurology. 2015; 85(10): 881–889.
    CrossRefPubMed
  76. Krittanawong C, Tweet MS, Hayes SE, et al. Usefulness of cardiac rehabilitation after spontaneous coronary artery dissection. Am J Cardiol. 2016; 117(10): 1604–1609.
    CrossRefPubMed
  77. Smaardijk VR, Mommersteeg PMC, Kop WJ, et al. Psychological and clinical characteristics of female patients with spontaneous coronary artery dissection. Neth Heart J. 2020; 28(9): 485–491.
    CrossRefPubMed
  78. Johnson AK, Hayes SN, Sawchuk C, et al. Analysis of posttraumatic stress disorder, depression, anxiety, and resiliency within the unique population of spontaneous coronary artery dissection survivors. J Am Heart Assoc. 2020; 9(9): e014372.
    CrossRefPubMed
  79. Turley TN, Theis JL, Sundsbak RS, et al. Rare missense variants in TLN1 are associated with familial and sporadic spontaneous coronary artery dissection. Circ Genom Precis Med. 2019; 12(4): e002437.
    CrossRefPubMed
  80. Fahey JK, Williams SM, Tyagi S, et al. The intercellular tight junction and spontaneous coronary artery dissection. J Am Coll Cardiol. 2018; 72(14): 1752–1753.
    CrossRefPubMed
  81. Adlam D, Olson TM, Combaret N, et al. DISCO Consortium, CARDIoGRAMPlusC4D Study Group. Association of the PHACTR1/EDN1 genetic locus with spontaneous coronary artery dissection. J Am Coll Cardiol. 2019; 73(1): 58–66.
    CrossRefPubMed
  82. Kathiresan S, Voight BF, Purcell S, et al. Myocardial Infarction Genetics Consortium, Wellcome Trust Case Control Consortium. Genome-wide association of early-onset myocardial infarction with single nucleotide polymorphisms and copy number variants. Nat Genet. 2009; 41(3): 334–341.
    CrossRefPubMed
  83. Nikpay M, Goel A, Won HH, et al. A comprehensive 1,000 Genomes-based genome-wide association meta-analysis of coronary artery disease. Nat Genet. 2015; 47(10): 1121–1130.
    CrossRefPubMed
  84. Anttila V, Winsvold BS, Gormley P, et al. North American Brain Expression Consortium, UK Brain Expression Consortium. Genome-wide meta-analysis identifies new susceptibility loci for migraine. Nat Genet. 2013; 45(8): 912–917.
    CrossRefPubMed
  85. Debette S, Kamatani Y, Metso TM, et al. International Stroke Genetics Consortium, CADISP Group. Common variation in PHACTR1 is associated with susceptibility to cervical artery dissection. Nat Genet. 2015; 47(1): 78–83.
    CrossRefPubMed
  86. Turley TN, O'Byrne MM, Kosel ML, et al. Identification of susceptibility loci for spontaneous coronary artery dissection. JAMA Cardiol. 2020; 5(8): 929–938.
    CrossRefPubMed
  87. Saw J, Yang ML, Trinder M, et al. Million Veteran Program. Chromosome 1q21.2 and additional loci influence risk of spontaneous coronary artery dissection and myocardial infarction. Nat Commun. 2020; 11(1): 4432.
    CrossRefPubMed
  88. Carss KJ, Baranowska AA, Armisen J, et al. Spontaneous coronary artery dissection: insights on rare genetic variation from genome sequencing. Circ Genom Precis Med. 2020; 13(6): e003030.
    CrossRefPubMed
  89. Tweet MS, Young KA, Best PJM, et al. Association of pregnancy with recurrence of spontaneous coronary artery dissection among women with prior coronary artery dissection. JAMA Netw Open. 2020; 3(9): e2018170.
    CrossRefPubMed
  90. Canobbio MM, Warnes CA, Aboulhosn J, et al. American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; Council on Functional Genomics and Translational Biology; and Council on Quality of Care and Outcomes Research. Management of pregnancy in patients with complex congenital heart disease: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2017; 135(8): e50–e87.
    CrossRefPubMed
  91. Faden MS, Bottega N, Benjamin A, et al. A nationwide evaluation of spontaneous coronary artery dissection in pregnancy and the puerperium. Heart. 2016; 102(24): 1974–1979.
    CrossRefPubMed
  92. Appleby CE, Barolet A, Ing D, et al. Contemporary management of pregnancy-related coronary artery dissection: a single-centre experience and literature review. Exp Clin Cardiol. 2009; 14(1): e8–e16.
    PubMed
  93. Elkayam U, Jalnapurkar S, Barakkat MN, et al. Pregnancy-associated acute myocardial infarction: a review of contemporary experience in 150 cases between 2006 and 2011. Circulation. 2014; 129(16): 1695–1702.
    CrossRefPubMed
  94. Smilowitz NR, Gupta N, Guo Yu, et al. Acute myocardial infarction during pregnancy and the puerperium in the United States. Mayo Clin Proc. 2018; 93(10): 1404–1414.
    CrossRefPubMed
  95. Havakuk O, Goland S, Mehra A, et al. Pregnancy and the risk of spontaneous coronary artery dissection: an analysis of 120 contemporary cases. Circ Cardiovasc Interv. 2017; 10(3): e004941.
    CrossRefPubMed

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