# Spontaneous Coronary Artery Dissection: A Case Series Reviewing Typical Presentations of an Atypical Pathology

**Authors:** Jace C. Bradshaw, Lisa Saffire, Jake Valentine, P. Logan Weygandt

PMC · DOI: 10.5811/cpcem.59930 · Clinical Practice and Cases in Emergency Medicine · 2023-11-08

## TL;DR

This paper reviews three cases of spontaneous coronary artery dissection, a rare heart condition often affecting young women, to highlight its varied presentations and help doctors recognize it.

## Contribution

The novelty lies in presenting unique case insights into SCAD's variable presentations and associated conditions.

## Key findings

- SCAD often affects young women without typical heart disease risk factors.
- The cases highlight varied presentations and epidemiological risk factors of SCAD.
- The paper discusses differences in interventional techniques and medical management approaches.

## Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction. Patients suffering SCAD are often young women without typical risk factors for atherosclerotic heart disease. Clinicians should maintain a high index of suspicion for SCAD.

We report three cases of patients with SCAD from a single physician in a six-month period. Each case is unique and highlights the varied presentations and epidemiological risk factors associated with this condition.

We believe these cases are unique in that they provide insights into the variable presentations and conditions frequently associated with SCAD and will help clinicians maintain a high index of suspicion for this difficult to diagnose and rare cause of type 2 myocardial infarction. We discuss differences in interventional techniques and medical management.

## Linked entities

- **Diseases:** myocardial infarction (MONDO:0005068)

## Full-text entities

- **Diseases:** atherosclerotic heart disease (MESH:D006331), myocardial infarction (MESH:D009203), Coronary Artery Dissection (MESH:C565153)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10855290/full.md

## References

16 references — full list in the complete paper: https://tomesphere.com/paper/PMC10855290/full.md

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Source: https://tomesphere.com/paper/PMC10855290