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Spontaneous coronary artery dissection: contemporary aspects of diagnosis and patient management
  1. Fernando Macaya,
  2. Pablo Salinas,
  3. Nieves Gonzalo,
  4. Antonio Fernández-Ortiz,
  5. Carlos Macaya and
  6. Javier Escaned
  1. Servicio de Cardiología, Hospital Clínico San Carlos, Universidad Complutense, IdISSC, Madrid, Spain
  1. Correspondence to Javier Escaned; escaned{at}


Spontaneous coronary artery dissection is an increasingly recognised cause of acute coronary syndromes, especially in young and middle-age women. Recognising its particularities and differences with atherosclerotic disease is central for appropriately identifying and approaching these patients. The authors review the current state of knowledge on spontaneous coronary artery dissection and provide practical recommendations for the diagnosis and management of this condition, both in the acute and convalescence phases.

  • coronary artery disease
  • peripheral vascular disease
  • coronary angiography
  • interventional cardiology

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  • Contributors FM wrote the first draft of this manuscript. PS and NG contributed in planning the structure and content, as in reviewing the first draft. AFO, CM and JE provided key intellectual input and appraisal.

  • Funding This study was funded by Fundación Interhospitalaria Investigación Cardiovascular.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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