Key result
A 61-year-old woman with spontaneous coronary artery dissection of the ramus intermedius was successfully managed with conservative medical therapy, resulting in symptom resolution at one-month follow-up.
Why the study?
SCAD is a rare cause of myocardial ischemia typically seen in younger women without classic coronary artery disease risk factors, and differentiating it from ACS is vital because their management differs.
Case Report (n=1)
Highlights the occurrence of spontaneous coronary artery dissection in an older woman without classic risk factors, emphasizing the need to differentiate it from acute coronary syndrome.
SCAD warrants consideration beyond typical younger demographics; extends age spectrum but leaves open need for validation.
Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia commonly seen in younger patients, particularly women. Patients often present similar to those with acute coronary syndrome (ACS); however, they often are missing the classic risk factors that are typically associated with coronary artery disease. Differentiating between SCAD and ACS is vital as they are managed differently with up to 80% of SCAD being managed conservatively. We present a case of 61-year-old woman with no previous cardiac history presenting with chest pain and was found to have spontaneous coronary artery dissection on coronary angiography.
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Tanba et al. (2022) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Conservative medical management was evaluated on Symptom resolution and clinical recovery. A 61-year-old woman with spontaneous coronary artery dissection of the ramus intermedius was successfully managed with conservative medical therapy, resulting in symptom resolution at one-month follow-up.
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