Spontaneous coronary artery dissection: aggressive vs. conservative therapy.

Background: Spontaneous coronary artery dissection (SCAD) is a rare condition that commonly presents as an acute coronary event in the younger population, especially in females of childbearing age. Generally, there is no consensus on the etiology, prognosis, and treatment of SCAD.

Methods: The Medline database was searched for "spontaneous coronary artery dissection" between 1931 and 2008.