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Spontaneous coronary artery dissection Abstract. Natural coronary artery dissection (SCAD) is an ever more acknowledged etiology of severe coronary syndrome (ACS) and an important cause of myocardial infarction in women. Initially explained in 1931, SCAD is defined as a spontaneous tear in a coronary artery that is not involving atherosclerosis, traumatization or health input. SCAD predominantly affects younger women, who often are lacking atherosclerotic risk elements. Some threat facets which have been i
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