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Is coronary dissection painful ?

Dr. S. Venkatesan MD

Spontaneous coronary dissection vs Iatrogenic dissection SCAD is a rare , different entity , enjoys a popular space in the patho-physiology of CAD. An important therapeutic caution is PCI is contraindicated in SCAD except in critical locations such as left main. Is plaque fissure painful ?

SCAD 52
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A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?

Dr. Smith's ECG Blog

Currently, SCAD is a diagnosis that can only be established emergently in the cath lab with angiography. Type 1 ACS OMI should be ruled out as it is the most common and most treatable cause, and only with angiography will type 1 ACS be ruled out and SCAD be diagnosed instead. And is there new left bundle branch block (LBBB)?

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1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

Spontaneous coronary artery dissection (SCAD) should be considered as a cause of MINOCA. Shark Fin morphology has been discussed a number of times on Dr. Smith’s ECG Blog ( For review — See the June 11, 2018 post and the January 24, 2020 post , to name just 2 instances ). 24, 2020 post ( link to that post given above ).