Spontaneous coronary artery dissection is a rare but important cause of acute STEMI in young women, particularly during pregnancy or postpartum, and is currently managed similarly to atherosclerotic acute MI.
Alerts clinicians to SCAD in young women with STEMI; leaves open whether SCAD-specific strategies improve outcomes over standard care.
Spontaneous coronary artery dissection not associated with underlying coronary artery disease is rare. When the dissection does occur, it most often is manifested as an acute ST-elevation myocardial infarction in young women. Although the condition can occur in men, most often it involves women who are in their third trimester of pregnancy or the early postpartum period or are engaging in vigorous exercise. Because little is known about spontaneous coronary artery dissection in this population of women, recommendations for treatment are the same as for treatment of acute myocardial infarction associated with atherosclerotic coronary disease.
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Linda Griego Martinez (2012) studied this question.
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