Recurrent idiopathic spontaneous coronary artery dissection

S Afr Med J. 2019 Jun 28;109(7):477-479. doi: 10.7196/SAMJ.2019.v109i7.13997.


Spontaneous coronary artery dissection (SCAD) is a relatively rare cause of acute coronary syndrome and sudden cardiac death, which frequently affect young women in the absence of established cardiovascular risk factors. Advancements in cardiovascular imaging account for the increasing recognition of this diagnosis and associated diagnoses, although classic diagnostic modalities such as electrocardiography remain of paramount importance. We present a young woman with recurrent SCAD and briefly discuss her management and its outcome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / therapy
  • Dual Anti-Platelet Therapy
  • Electrocardiography
  • Female
  • Humans
  • Nausea / etiology
  • Recurrence
  • Sweating
  • Troponin T / blood
  • Vascular Diseases / congenital*
  • Vascular Diseases / diagnosis
  • Vascular Diseases / therapy


  • Troponin T

Supplementary concepts

  • Coronary Artery Dissection, Spontaneous