Overdiagnosis of spontaneous coronary artery dissection in young women: A case series highlighting challenges in angiographic diagnosis

Author(s): Ali Hillani, Matthew Sibbald, Gustavo Dutra, Jorge Chavarria, Natalia Pinilla, Tej Sheth

Interventional cardiologists sometimes over-diagnose Spontaneous Coronary Artery Dissection (SCAD) in young female patients despite clinical or angiographic findings that suggest ongoing diagnostic uncertainty or an alternative diagnosis. This case series highlights that unresolved symptoms and recurrent events can result when such patients have premature Coronary Atherosclerotic Disease (CAD) that is mislabeled as SCAD and not treated.