[Recent insights on spontaneous coronary artery dissection (SCAD): From diagnosis suspicion to long-term outcomes]

Abstract

Spontaneous coronary artery dissection (SCAD) is a poorly understood and under-diagnosed entity of acute coronary syndrome, affecting predominantly young women. Relatively large series have been published in the past five years highlighting this condition, once believed to be rare. Indeed, the pathophysiology, natural history, clinical presentation, patient profile, diagnostic modalities, management and outcomes of SCAD are becoming better understood. The aim of our review is to provide a brief "state of the art" of SCAD in 2016 to help the clinician in the management of this challenging condition.

Keywords: Acute coronary syndrome; Dissection coronaire spontanée; Hématome pariétal; Intramural hematoma; Optical coherence tomography (OCT); Spontaneous coronary artery dissection (SCAD); Syndrome coronarien aigu; Tomographie par cohérence optique (OCT).