SCAD Information for medical professionals

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SCAD is the most common cause Myocardial Infarction of women under age 50 and postpartum which is frequently misdiagnosed and mistreated.  It is not related to arteriosclerosis or adverse lifestyle choices but is oftentimes seen in young athletic women or women postpartum especially multiparity.  The American Heart Association reports up to 30% of women under the age of 50 presenting with MI's are experiencing SCAD events.  (AHA Spontaneous Coronary Artery Dissection: Current State of the Science). 

 Most recent SCAD review (2024) with suggested management algorithm for SCAD  Spontaneous coronary artery dissection (SCAD): A contemporary review - Offen - 2024 - Clinical Cardiology - Wiley Online Library 

From the Victor Change Institute in Australia:

SCAD printable sheet for medical professionals

Stenting

Due to the risk of further dissection placing stents is not recommended except for specific situations. (Conservative Management, Careful Diagnosis Key for Good SCAD Outcomes)

 Medication Protocol

Many SCAD Survivors are overprescribed medications which reduce quality of life and increases risk of depression.  A conservative approach is recommended in many cases of baby aspirin and a low dose beta blocker.