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Background: SCAD is a frequent cause of ACS in women less than 50 years Our aim was to review the incidence and demographics of SCAD patients in our region, their management and outcomes A secondary aim was to see whether any patient characteristics could be used to help predict a diagnosis of SCAD in young women and thus avoid potentially harmful treatment Method: We reviewed the records of all women under 50 years old presenting with STEMI in the Wellington Region from Jan 2015-December 2019 Demographic and angiographic data was collected The angiograms were reviewed independently by 2 observers to ensure no angiographic SCAD was missed Follow up data on all patients including MACE was acquired Results: 35 women less than 50 years old presented with STEMI during the period The mean age was 45 The most common presentation was anterior STEMI (51 4%) There were 3 cases of SCAD(8 5%), 2 proximal LAD and 1 intermediate vessel 71% of all patients were current smokers, 66% of SCAD cases were non smokers All SCAD patients were discharged on DAPT One SCAD patient had severe LV dysfunction which had recovered by 6 months Conclusion: The incidence of SCAD presenting as STEMI in women under 50 was 8 5% This is in line with internationally reported numbers We could not recommend a change to current practice of STEMI management in young women due to the low numbers of SCAD identified
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Heart_Lung_and_Circulation
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Incidence and Outcome of Spontaneous Coronary Artery Dissection in the Wellington Region
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