PT  - JOURNAL ARTICLE
AU  - Nureddin K. Almaddah
AU  - Mohamed S. Morsy
AU  - Dwight Dishmon
AU  - Rami N. Khouzam
TI  - Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
AID  - 10.3949/ccjm.86a.18078
DP  - 2019 Apr 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 252--256
VI  - 86
IP  - 4
4099  - http://www.ccjm.org/content/86/4/252.short
4100  - http://www.ccjm.org/content/86/4/252.full
SO  - Cleve Clin J Med2019 Apr 01; 86
AB  - Spontaneous coronary artery dissection (SCAD), an intramural hemorrhage leading to a separation of the layers of the coronary artery wall, is traditionally considered a rare condition associated mainly with pregnancy but is likely underdiagnosed in other settings. Its recognition by coronary angiography is key. Medical management is usually indicated, except in certain circumstances in which coronary artery bypass grafting or percutaneous coronary intervention should be considered.