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A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

Spontaneous coronary artery dissection Dissection of a coronary artery may occur in the context of atherosclerosis, or be iatrogennic during angiography or angioplasty. In the absence of these factors it is termed spontaneous coronary artery dissection ( SCAD ). A recent study found that SCAD causes almost 20% of STEMI in young women.

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Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

MINOCA now encompasses Spontaneous Coronary Artery Dissection (SCAD), a rare condition that is known to manifest primarily in women and affects the epicardial coronary artery. Despite padding the MINOCA numbers with SCAD, MINOCA is much rarer than conventional epicardial coronary disease. versus 66.3%; P =0.004), older age (62.4±7.9

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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)?