Spontaneous coronary artery dissection is an under-diagnosed cause of acute coronary syndrome that is strongly associated with fibromuscular dysplasia and typically heals spontaneously with conservative management.
This review highlights the importance of recognizing spontaneous coronary artery dissection (SCAD) in acute coronary syndrome, particularly through the use of intracoronary imaging.
Spontaneous coronary artery dissection (SCAD) is an infrequent and often missed diagnosis among patients presenting with acute coronary syndrome (ACS). Unfortunately, SCAD can result in significant morbidities such as myocardial ischemia and infarction, ventricular arrhythmias and sudden cardiac death. Lack of angiographic recognition from clinicians is a major factor of under-diagnosis. With the advent of new imaging modalities, particularly with intracoronary imaging, there has been improved diagnosis of SCAD. The aim of this paper is to review the epidemiology, etiology, presentation, diagnosis and management of SCAD.
Yip et al. (Sun,) conducted a review in Spontaneous coronary artery dissection (SCAD). Spontaneous coronary artery dissection was evaluated. Spontaneous coronary artery dissection is an under-diagnosed cause of acute coronary syndrome that is strongly associated with fibromuscular dysplasia and typically heals spontaneously with conservative management.