Key result
SCAD presents unusually as angina in a 75-year-old woman, the oldest reported case.
Highlights that spontaneous coronary artery dissection can occur in elderly patients and may present atypically with angina rather than infarction.
SCAD may occur in elderly women with angina; extends reported age range and leaves optimal management open.
Spontaneous coronary artery dissection is a rare condition, typically occurring in younger women. A 75-year-old woman with this condition, 17 years older than previously reported, is described, including her unusual presentation with angina rather than infarct. The 112 previously reported cases are summarized and treatment options discussed.
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Laslett et al. (2008) studied this question. Spontaneous coronary artery dissection presented unusually as angina rather than an infarct in a 75-year-old woman, who was 17 years older than any previously reported case.
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