Key result
Spontaneous coronary artery dissection is a critical cause of acute coronary syndrome in young patients and peripartum females, with urgent angiography and revascularization as main strategies.
Spontaneous coronary artery dissection should be considered as a cause of acute coronary syndrome in young patients and peripartum females, with urgent coronary angiography indicated for diagnosis.
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Supports SCAD consideration in young/peripartum ACS; leaves open RCTs to define optimal revascularization.
Spontaneous coronary artery dissection (SCAD) should be considered as a cause of the acute coronary syndrome in young patients with few apparent risk factors for coronary artery disease, in females in the peripartum period, and in patients who are at a higher risk for this condition. SCAD can also present as sudden death and cardiogenic shock. Several mechanisms have been described in the pathophysiology of this condition. Urgent coronary angiography is indicated if SCAD is suspected. Percutaneous coronary artery stenting and coronary artery bypass grafting are the main treatment strategies.
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Khan et al. (2006) conducted a review in Spontaneous coronary artery dissection. Spontaneous coronary artery dissection is a critical cause of acute coronary syndrome in young patients and peripartum females, with urgent angiography and revascularization as main strategies.
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