Key result
Conservative management remains the preferred strategy for SCAD as dissected vessels typically heal spontaneously.
Why the study?
Spontaneous coronary artery dissection is an increasingly recognised cause of acute coronary syndromes, especially in young and middle-age women, requiring updated knowledge for diagnosis and management.
This review highlights that SCAD should be managed conservatively when possible, avoiding routine PCI due to the high risk of complications and the natural history of spontaneous healing.
May support conservative SCAD management in stable patients; leaves open need for randomized trials to confirm strategies.
Spontaneous coronary artery dissection is an increasingly recognised cause of acute coronary syndromes, especially in young and middle-age women. Recognising its particularities and differences with atherosclerotic disease is central for appropriately identifying and approaching these patients. The authors review the current state of knowledge on spontaneous coronary artery dissection and provide practical recommendations for the diagnosis and management of this condition, both in the acute and convalescence phases.
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Macaya et al. (2018) conducted a review in Spontaneous coronary artery dissection (SCAD). Spontaneous coronary artery dissection was evaluated. Conservative management is the preferred strategy for patients with SCAD whenever clinically possible, as the dissected coronary vessels tend to heal spontaneously.
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