Abstract
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome, with a greater prevalence in females that should be included in the differential in patients presenting with chest pain and equivalent symptoms. Noninvasive electrocardiogram and cardiac biomarkers evaluation should be obtained initially; however, a definitive diagnosis usually requires coronary angiography. Most patients are treated with conservative medical management, with percutaneous intervention and coronary artery bypass grafting reserved for unstable patients or those refractory to conservative management.
