Spontaneous Coronary Artery Dissection information for patients

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SCAD is a tear in the coronary artery which can lead to a hematoma and cause a heart attack due to partial or full occlusion.  You may have a normal ECG so it is important to have your troponin (cardiac enzyme) levels checked.  Elevated troponins indicated stress or damage to the heart muscle.

SCAD typically occurs among younger healthy women oftentimes who are athletic or postpartum. It is not related to coronary artery disease or plaque buildup in the arteries but has many yet unknown variables.  There are some genetic disorders which may place women at higher risk such as Fibromuscular Dysplasia (FMD)

Coronary angiography (PDF) is done during cardiac catheterization.   In cardiac catheterization (often called cardiac cath), your doctor puts a very small, flexible, hollow tube (called a catheter) into a blood vessel in the wrist or groin. The procedure is usually quick and painless. A stent placement may occur under special conditions, but caution is advised due to risk of further dissection.

There are a significant number of SCAD Survivors that experienced an acute stress event or chronic stress leading up to SCAD.  Find ways to manage your stress level to possibly reduce the risk of recurrence.  See our Stress Management Program on this website to enroll.  Find out as much as possible about SCAD and make sure you discuss your fears and concerns with supportive others.

Your artery dissection needs to heal so eat nutrient dense foods and a well- balanced diet.  Foods with anti-inflammatory factors are highly recommended. If you are athletic make sure you are eating enough calories and nutrients to meet your energy expenditure.  

Her Heart Sounds provides Patient Advocacy Services to support you and provide information.  Obtain a good support system - Facebook SCAD support pages are excellent.  Please check our FB page @SCADHopeWorldwide.  Contact Sheryl Martin for support at sherylmartin@herheartsounds.org