RT Journal Article SR Electronic T1 Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 252 OP 256 DO 10.3949/ccjm.86a.18078 VO 86 IS 4 A1 Nureddin K. Almaddah A1 Mohamed S. Morsy A1 Dwight Dishmon A1 Rami N. Khouzam YR 2019 UL http://www.ccjm.org/content/86/4/252.abstract 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.