Why the study?
Despite growing awareness of SCAD as a common cause of acute coronary syndrome, there is a paucity of data on acute and long-term therapy.
This review emphasizes that SCAD should primarily be managed conservatively with medical therapy in stable patients, avoiding routine revascularization due to high complication rates, while highlighting the importance of long-term screening for arteriopathies and cardiac rehabilitation.
Spontaneous coronary artery dissection (SCAD) is an acute noniatrogenic tear in the coronary arterial wall, leading to disruption of coronary blood flow and myocardial infarction. Previously considered rare, it is now recognized as a common cause of acute coronary syndrome, particularly in young women. Despite growing awareness of this disease, there is a paucity of data on acute and long-term therapy. This review summarizes the existing literature on treatment of SCAD and describes a comprehensive management strategy.
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Pristera et al. (2021) conducted a review in Spontaneous coronary artery dissection (SCAD). Medical management and revascularization was evaluated.
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