Medications for spontaneous coronary artery dissection
| Indicated Aspirin 81 mg daily |
| P2Y12 inhibitor if patient has undergone percutaneous coronary intervention (PCI) |
| Beta-blocker |
| Debated P2Y12 inhibitor if no PCI: consider a 1- to 3-month course as tolerated |
| Statin (appropriate if otherwise indicated) |
| Angiotensin-converting enzyme inhibitor or angiotensin receptor blocker in patients with left ventricular dysfunction |
| Contraindicated Thrombolysis |