What is it about?
Spontaneous coronary dissection is a rare condition characterized by a non-traumatic tear in the wall of a coronary artery, with no atherosclerotic or traumatic cause. It mainly affects women and is an infrequent but significant cause of acute coronary syndrome.
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Why is it important?
In this article, a clinical case is presented of a 47-year-old woman with no previous cardiovascular history, presenting with acute chest pain. Investigative findings, including an electrocardiogram, elevated troponin levels and echocardiography, pointed towards an acute coronary syndrome due to coronary dissection.
Perspectives
Spontaneous coronary dissection is defined as a non-traumatic, non-atherosclerotic, unprovoked tear in the wall of a coronary artery following an intimal tear or spontaneous hemorrhage [1]. It predominantly affects women [1], and accounts for 0.1 to 4% of the etiologies of coronary syndromes [2].
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This page is a summary of: Spontaneous Coronary Dissection: An Unusual Etiology of Acute Coronary Syndrome, Journal of Case Reports and Medical History, June 2025, Acquire Publications LLC,
DOI: 10.54289/jcrmh2500118.
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