Spontaneous Coronary Artery Dissection: Definition, Clinical Significance, and Overview
Spontaneous Coronary Artery Dissection is a non-traumatic, non-iatrogenic tear or separation within a coronary artery wall. It is a cause of acute coronary syndrome (ACS) and myocardial infarction (MI) that is distinct from atherosclerotic plaque rupture. It belongs to cardiovascular pathology and coronary artery anatomy, and it is most often discussed in emergency and acute cardiology settings. It is commonly identified during evaluation for chest pain with electrocardiography (ECG), cardiac biomarkers (e.g., troponin), and coronary angiography.