Key result
SCAD drives ~35% of ACS cases as the leading cause in women under 50.
Why the study?
Despite recent attention to spontaneous coronary artery dissection, treatment remains debated, prompting a summary of current aspects to increase awareness of the condition.
SCAD is a significant cause of ACS in young women, and conservative medical management is generally preferred over revascularization due to spontaneous healing.
Warrants SCAD consideration in young women with ACS; leaves open optimal management strategies for prospective trials.
Spontaneous coronary artery dissection (SCAD) presents a life-threatening condition, prevalent among young women, comprising up to 35% of acute coronary syndrome cases. It involves sudden, trauma-free splitting of coronary artery walls, reducing blood flow and mimicking symptoms of acute myocardial infarction. Despite recent attention, treatment remains debated. Hormonal changes, stress, migraines, physical and psychological aspects impact the prognosis. Ongoing research aims to refine diagnostic and therapeutic approaches, addressing long-term outcomes. In this review, we have summarised current aspects of SCAD to increase awareness of the condition.
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Dam-Huus et al. (2024) conducted a review in Spontaneous coronary artery dissection (SCAD). Spontaneous coronary artery dissection is the most frequent cause of acute coronary syndrome in women under 50 years of age, accounting for up to 35% of cases.
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