title: What Clinicians Should Know Αbout Spontaneous Coronary Artery Dissection.
abstract: Spontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndrome and sudden death in young persons, particularly women. Associated conditions include fibromuscular dysplasia, peripartum status, and episodes of extreme emotion or exercise. Because of heightened awareness and improved diagnostic accuracy, it is increasingly important for clinicians to understand SCAD. Moreover, short-term and long-term management strategies diverge from typical strategies for atherosclerotic disease. In this Concise Review, we aim to highlight the key points about SCAD, including presentation, diagnosis, associated conditions, and short-term and long-term management.
authors.affiliation: Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN.
authors.forename: Marysia S
authors.initials: MS
authors.lastname: Tweet
authors.affiliation: Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Gulati
authors.affiliation: Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN. Electronic address: Hayes.Sharonne@mayo.edu.
authors.forename: Sharonne N
authors.initials: SN
authors.lastname: Hayes
mesh_terms: D000328:Adult; D000367:Age Factors; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D016757:Death, Sudden, Cardiac / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D012737:Sex Factors; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy