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Spontaneous coronary artery dissection: a clinically oriented narrative review

  • Quan Dang,
  • Sonya Burgess,
  • Peter J. Psaltis,
  • Sarah Fairley,
  • Jacqueline Saw,
  • Sarah Zaman

摘要

Spontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndromes (ACS), with a higher incidence in younger female patients. It is also associated with pregnancy, delivery, and the post-partum period. Despite an exponential rise in the volume of SCAD-focused research and publications within the past decade, SCAD is still a poorly understood condition, with a paucity of randomised controlled trial data. This review discusses the pathophysiology, clinical presentation, diagnosis and management of SCAD alongside areas for future research.