Spontaneous Coronary Artery Dissection: A Comprehensive Overview

J Emerg Nurs. 2020 Sep;46(5):701-710. doi: 10.1016/j.jen.2020.05.012.

Abstract

Spontaneous coronary artery dissection is an underdiagnosed cause of acute coronary syndrome that primarily impacts young women. Spontaneous coronary artery dissection as a cause of acute coronary syndrome is not rare and should not be overlooked. Spontaneous coronary artery dissection should be considered on the list of differential diagnosis of any chest pain occurring in young women with few typical risk factors. The purposes of this article are to broaden the understanding and increase awareness of spontaneous coronary artery dissection, specifically its diagnosis and clinical outcomes.

Keywords: Acute coronary syndrome (ACS); Fibromuscular dysplasia (FMD); Spontaneous coronary artery dissection (SCAD).

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome / etiology
  • Chest Pain / diagnosis
  • Coronary Vessel Anomalies / complications
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / therapy*
  • Diagnosis, Differential
  • Emergency Nursing*
  • Female
  • Humans
  • Nursing Diagnosis*
  • Triage
  • Vascular Diseases / complications
  • Vascular Diseases / congenital*
  • Vascular Diseases / diagnosis
  • Vascular Diseases / therapy

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous