The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

New European insights on spontaneous coronary artery dissection (SCAD): are we any closer in our scientific exploration voyage?

EuroIntervention 2021;17:447-449. DOI: 10.4244/EIJV17I6A81

1. Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada
Spontaneous coronary artery dissection (SCAD) is an incompletely understood cause of myocardial infarction (MI) and, although previously perceived as rare, it is increasingly recognised as an important cause of MI in young to middle-aged women. Scientific knowledge and publications on this disease have expanded tremendously in the past decade. Research derived from multicentre prospective and retrospective registries has helped to elucidate the clinical presentation, associated conditions, natural history, outcomes and prognosis of this challenging disease. We now understand the major predisposing causes for SCAD, including fibromuscular dysplasia (FMD), and precipitating factors that can provoke SCAD in the setting of weakened ...

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