Spontaneous coronary artery dissection (SCAD) accounts approximately for 0.2% of cases of acute coronary syndrome. It is defined "spontaneous" in absence of any coronary wall damage. This disease affects primarily young women in good health, with no risk factors for coronary artery disease, especially during the postpartum period. Since the clinical presentation varies widely from no symptoms to typical angina and sudden cardiac death, SCAD incidence is underestimated.
Teruzzi G, Calligaris G, Ravagnani P, Trabattoni D, Grancini L, Monizzi G, Lualdi A, Bartorelli AL. Peripartum spontaneous coronary artery dissection: a case report. G Ital Cardiol 2016; 17(10):24-27