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Cath report later that afternoon, around 25 hours since arrival: "There was a 70% proximal LAD stenosis secondary to a spontaneous coronary dissection with narrowing of the proximal LAD to at least 50% stenosis. Currently, SCAD is a diagnosis that can only be established emergently in the cath lab with angiography.
distal stenosis or occluded small branches), and 3) nonischemic causes for myocyte injury (e.g., Spontaneous coronary artery dissection (SCAD) should be considered as a cause of MINOCA. 24, 2020 post ( link to that post given above ). The diagnosis of MINOCA should exclude: 1) other overt causes for elevated troponin (e.g.,
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