Journal of Cardiovascular Disease Research,2019,10,3,xx-xx.
Spontaneous coronary artery dissection (SCAD) is a markedly underrecognized and important cause of ACS, particularly in young women. The pathophysiology, causes and responses to standard treatment differ from those of atherosclerotic acute coronary syndromes (ACS), so proper management demands accurate diagnosis. Case fatality rate as high as 80% has been reported. It may also be associated with autoimmune and collagen vascular diseases, Marfan’s syndrome, chest trauma and intense physical exercise. The most common presentation of SCAD is the acute onset of severe chest pain associated with autonomic symptoms. We present here a case of spontaneous coronary artery dissection in a noninfarct related artery diagnosed incidentally in a young hypertensive male with acute anterior wall myocardial infarction.