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Spontaneous coronary artery dissection can present with atypical symptoms such as shortness of breath or heartburn, highlighting the need for clinical suspicion in young patients presenting to the ED with non-specific symptoms.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome, more common in young women without risk factors for, or a history of, coronary artery disease and usually occurs in the peripartum period. There are two types of SCAD: atherosclerotic and nonatherosclerotic coronary artery dissection. Management options include conservative management, percutaneous coronary intervention, or surgical intervention, depending on the presentation and extent of the dissection. We present reports of two cases of SCAD (one man and one woman) presenting to the emergency department of our community hospital in February 2020 with nonspecific symptoms.
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Okoroafor et al. (2020) studied this question.
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