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A healthy 45-year-old female presented with chestpain, with normal vitals. The patient was previously healthy, with no atherosclerotic riskfactors, and developed chestpain after an episode of stress. The pain was crushing retrosternal, radiated to the arms and was associated with lightheadedness.
This means that at every age, the probability a man complaining of chestpain has significant underlying coronary disease as a cause of this chestpain is much higher than a woman complaining of chestpain. Women also had more cardiovascular riskfactors, including hypertension (66.6%
hours of substernal chest pressure. She had zero CAD riskfactors. What is Spontaneous Coronary Artery Dissection (SCAD)? SCAD occurs in patients with few or non-traditional cardiovascular riskfactors. There are no randomized controlled trials for treatment strategies in SCAD.
Introduction Spontaneous coronary artery dissection (SCAD) accounts for 1%–4% of cases of acute coronary syndrome (ACS). SCAD is caused by separation occurring within or between any of the three tunics of the coronary artery wall. The incidence of SCAD is higher in women than in men, with a ratio of approximately 9:1.
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