Key result
SCAD in a 45-year-old woman illustrates the unique pathophysiology of ACS in women.
Why the study?
Although chest pain is the most common presenting symptom of ACS in both sexes, important differences in CAD pathophysiology affect care for women.
Case Report (n=1)
Provides a case-based review of the pathophysiological differences and clinical nuances in evaluating women with chest pain.
Answers are grounded in this paper and cite their sources.
Supports considering SCAD in women with ACS symptoms; extends case literature on sex differences but leaves optimal strategies open.
Although chest pain is the most common presenting symptom for both men and women who ultimately receive diagnoses of acute coronary syndrome, there in are important differences in coronary artery disease pathophysiology that can affect patient care. Using a case-based approach, we provide insight into these and other important considerations that every clinician should think of when treating women with chest pain. (Level of Difficulty: Intermediate.)
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Vargas et al. (2021) conducted a case report in Spontaneous coronary artery dissection (n=1). A 45-year-old woman presenting with persistent chest pain and fatigue was diagnosed with spontaneous coronary artery dissection, illustrating the unique pathophysiology of acute coronary syndrome in women.
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