Spontaneous Coronary Artery Dissection: JACC State-of-the-Art Review
Journal of the American College of Cardiology, 2020•jacc.org
Over the past decade, spontaneous coronary artery dissection (SCAD) has emerged as an
important cause of myocardial infarction, particularly among younger women. The pace of
knowledge acquisition has been rapid, but ongoing challenges include accurately
diagnosing SCAD and improving outcomes. Many SCAD patients experience substantial
post-SCAD symptoms, recurrent SCAD, and psychosocial distress. Considerable uncertainty
remains about optimal management of associated conditions, risk stratification and …
important cause of myocardial infarction, particularly among younger women. The pace of
knowledge acquisition has been rapid, but ongoing challenges include accurately
diagnosing SCAD and improving outcomes. Many SCAD patients experience substantial
post-SCAD symptoms, recurrent SCAD, and psychosocial distress. Considerable uncertainty
remains about optimal management of associated conditions, risk stratification and …
Abstract
Over the past decade, spontaneous coronary artery dissection (SCAD) has emerged as an important cause of myocardial infarction, particularly among younger women. The pace of knowledge acquisition has been rapid, but ongoing challenges include accurately diagnosing SCAD and improving outcomes. Many SCAD patients experience substantial post-SCAD symptoms, recurrent SCAD, and psychosocial distress. Considerable uncertainty remains about optimal management of associated conditions, risk stratification and prevention of complications, recommendations for physical activity, reproductive planning, and the role of genetic evaluations. This review provides a clinical update on the diagnosis and management of patients with SCAD, including pregnancy-associated SCAD and pregnancy after SCAD, and highlight high-priority knowledge gaps that must be addressed.
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