Why the study?
SCAD is an uncommon but important cause of acute coronary syndrome not linked to typical atherosclerotic risk factors, and early diagnosis is crucial as it can be fatal if delayed.
Case Report (n=1)
No
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This case highlights that spontaneous coronary artery dissection should be considered in healthy, middle-aged women presenting with acute coronary syndrome, and while medical management is generally preferred, percutaneous coronary intervention can be successful in cases of STEMI with refractory chest pain.
Spontaneous coronary artery dissection (SCAD) is an uncommon but important cause of acute coronary syndrome. This condition is not linked to typical atherosclerotic risk factors, such as tobacco use, high blood pressure, diabetes, and hyperlipidemia. The majority of patients with SCAD experience chest pain and have some form of acute coronary syndrome with acute ST-elevation myocardial infarction (STEMI) being the most common. Early diagnosis is of utmost importance, as it can be fatal if management is delayed. Medical management is preferred over percutaneous intervention for hemodynamically stable cases. A case is presented of a 51-year-old female patient with no significant comorbidities who presented with exertional chest pain and STEMI, which unfolded a diagnosis of SCAD.
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Wagle et al. (2024) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Percutaneous coronary intervention (stent placement) was evaluated on Resumption of TIMI-3 flow and resolution of ST-segment elevation.
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