{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:53:17Z","timestamp":1767649997443,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,28]]},"abstract":"<jats:p>Spontaneous coronary artery dissection (SCAD) is an increasingly recognised cause of acute coronary syndrome, particularly in women. A 36-year-old Caucasian woman presented to our hospital with sudden onset chest pain and was diagnosed with a non-ST elevation myocardial infarction. Coronary angiography revealed mid and distal left anterior descending artery (LAD) dissection with distal LAD occlusion. A short segment of apical LAD filled late with incomplete opacification (Thrombolysis In Myocardial Infarction (TIMI) 1 flow). A decision was made to treat the patient conservatively, with subsequent resolution of dissection over the next 3\u2005months. Our patient made a good clinical recovery with healing of her affected coronary vasculature on subsequent angiogram. The case illustrates that SCAD can be managed conservatively with antiplatelet agents, \u03b2-blockers, heparin and statins, if the patient is haemodynamically stable and coronary flow is adequate.<\/jats:p>","DOI":"10.1136\/bcr-2015-211061","type":"journal-article","created":{"date-parts":[[2015,8,13]],"date-time":"2015-08-13T09:39:38Z","timestamp":1439458778000},"page":"bcr2015211061","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Spontaneous coronary artery dissection: the management dilemma continues"],"prefix":"10.1136","volume":"2015","author":[{"given":"Zaheer","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Missouri\u2014Kansas City School of Medicine, Kansas City, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ata","family":"Bajwa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, 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