What is the prevalence, therapeutic management, and medium-term prognosis of spontaneous coronary artery dissection in patients presenting with ACS?
SCAD is a notable cause of ACS in young women, frequently managed with medical therapy and associated with a favorable 1-year prognosis for those surviving the acute phase.
SCAD is observed in as much as 1 out 10 women <50 years presenting with ACS. After immediate coronary angiography, medical therapy is the chosen strategy in half of cases. Most patients who survive the acute phase are free from coronary events at 1 year.
Vanzetto et al. (Sat,) studied this question.
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