Cardiovascular disease remains the number one cause of death worldwide. In recent years, there has been an increased focus on Coronary Artery Dissection due to the increasing number of young individuals without any cardiovascular risk factors presenting with chest pain. Many of these patients would also have elevated troponins and sometimes electrocardiogram changes suggestive of myocardial infarction. Many reported cases have been in women and only a handful of cases have been reported in men. Although some potential risk factors have been identified, more data is needed to support these hypotheses. Coronary Artery Dissection (CAD) mimics Acute Coronary Syndrome (ACS), thus swift recognition and differentiation are important as depending on the patient’s specific presentation, the course of treatment will be different. There has been debate over the management of patients with Coronary Artery Dissection with regards to surgical intervention vs medical management alone, and the various medications that can or cannot be used given the overlap seen in SCAD and ACS. Early recognition and treatment especially in a young male without significant risk factors can significantly decrease myocardial injury.
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Tchuente I. Spontaneous Coronary Artery Dissection in a Young Male: A Case Report. Advances in Clinical Medical Research and Healthcare Delivery. 2022; 2(2). doi: 10.53785/2769-2779.1082.