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BackgroundSpontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of acute coronary syndrome or sudden cardiac death, primarily affecting relatively young women (median age, 51 years) without typical cardiovascular risk factors. Journal of the American Heart Association, Ahead of Print.
The patient's heart had significant recovery: Echo : Estimated LVEF 32%, apical wall motion abnormality with diastolic distortion (LV aneurysm), suggestive of old MI. Spontaneous coronary artery dissection (SCAD) should be considered as a cause of MINOCA. A followup ECG was recorded 2 days later: No definite evidence of infarction.
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