Key result
Spontaneous coronary artery dissection is an uncommon but clinically important cause of acute coronary syndrome, with a prevalence of 0.2%–0.7% overall and disproportionately affecting young women.
This editorial highlights the clinical importance of recognizing spontaneous coronary artery dissection as a cause of acute coronary syndrome, especially in young women.
Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome (ACS). However, SCAD is clinically important with a wide spectrum of clinical presentation. The prevalence of SCAD is 0.2%–0.7% in all angiographic series, but most SCAD patients present with ACS [1,2]. In particular, the clinical significance of SCAD should be emphasized in young women. It has been reported that 74%–98% of SCAD cases were in women [1–4]. Among women, prevalence of SCAD is higher in the younger generation compared to the elderly (1.2% in <70 year old, 2.1% in <60 year old, 4.0% in <50 year old, and 7.6% in <40 year old) [2].
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Yoshiyuki Furuse (2014) conducted an editorial in Spontaneous coronary artery dissection (SCAD) in acute coronary syndrome. Spontaneous coronary artery dissection is an uncommon but clinically important cause of acute coronary syndrome, with a prevalence of 0.2%–0.7% overall and disproportionately affecting young women.
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