Six Months Follow Up of Patients Presented with Spontaneous Coronary Artery Dissection

Background: Spontaneous coronary artery dissection (SCAD) remains a rare, but challenging entity. SCAD may occur as an isolated phenomenon or associated with coronary artery disease. Aim: The aim of our study is to determine early outcomes in patients with SCAD. Methods: Prospective descriptive study, 44 patients were diagnosed as SCAD with angiographic assessment, presentation and early mortality. Results: Mean age was 49.3 ± 10.4 years and 66% were women with 1 or fewer cardiovascular risk factors. Most patients presented with STEMI (39%) versus 30% for NSTEMI, 9% UA and 4% presented by heart failure. The most frequent culprit lesion was the left anterior descending (LAD) artery (70%); proximal to mid segments were the most affected (80%). Majority of patients were treated conservatively without revascularization. The in-hospital and 30-day mortality was about 7%. Conclusion: SCAD varies according to clinical presentation and mostly found in females. Medical treatment offers a valuable alternative in low-risk cases