Research Article

Breaking Down SCAD: A Deep Dive into Spontaneous Coronary Artery Dissection (SCAD)

Authors

  • Jalal Dilshaad Mohammed Murad Chief Resident Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Khurram Sarfaraz Consultant Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Imman Mohammad IrfanulQadri Medical Student, Royal College of Surgeons Ireland, Kingdom of Bahrain
  • Ali Haider Resident Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Naser Mohamad Mansoor Consultant Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Layla Al-Mutawa Chief Resident Cardiology, Department of Internal Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Hawra Fawzi Abdulla Senior Resident Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Reem Husain Al-Arab Chief Resident Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain
  • Ahmed Taher Ahmed Al-Qayem Resident Emergency Medicine, Salmaniya Medical Complex, Kingdom of Bahrain

Abstract

Spontaneous Coronary Artery Dissection (SCAD) is a rare, non-atherosclerotic cause of acute coronary syndrome, mainly seen in females with non-traditional cardiovascular risk factors. This case report follows a 44-year-old female who experienced a sudden onset of severe chest pain, which was attributed to SCAD following a coronary angiogram. This case emphasizes the importance of recognizing such presentations within the emergency department, particularly regarding differential diagnosis of chest pain following emotional or physical stressors. It also highlights the need for a multidisciplinary approach in terms of proper management with cardiology, emergency medicine, and mental health care to reduce the risk of reoccurrence. This case report aids in underscoring SCAD’s significance as a potential cause of ST Elevation Myocardial Infarction in what is noted as a low-risk population and the critical role of awareness and education in terms of its diagnosis and management.

Article information

Journal

Journal of Medical and Health Studies

Volume (Issue)

5 (4)

Pages

05-12

Published

2024-09-29

How to Cite

Jalal Dilshaad Mohammed Murad, Khurram Sarfaraz, Imman Mohammad IrfanulQadri, Haider, A., Naser Mohamad Mansoor, Layla Al-Mutawa, Hawra Fawzi Abdulla, Reem Husain Al-Arab, & Ahmed Taher Ahmed Al-Qayem. (2024). Breaking Down SCAD: A Deep Dive into Spontaneous Coronary Artery Dissection (SCAD). Journal of Medical and Health Studies, 5(4), 05-12. https://doi.org/10.32996/jmhs.2024.5.4.2

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Keywords:

“STEMI,” “Chest Pain,” “Stress,” “SCAD,” and “Angiogram”