Abstract
Background and Aims : Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute myocardial infarction that mainly occurs in young women with no risk factors and no coronary atherosclerosis. SCAD aetiology is poorly understood. Familial cases have been described and rare cases are reported in association with hereditary connective tissue disorders, but most cases of SCAD are sporadic. SCAD can usually be diagnosed angiographically and there is a growing consensus in favour of conservative management when possible.
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