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Inclusion criteria involved studies with confirmed SCAD diagnosis, reporting initial management strategies, and original research with\u2009\u2265\u200910 participants. Random-effect models were applied for insignificant heterogeneity with significance at <jats:italic>p<\/jats:italic>\u2009\u2264\u20090.05. Sensitivity analysis and funnel plots assessed potential publication bias. <\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Our analysis found no significant differences in major adverse cardiac events (MACE) (OR\u2009=\u20090.61, <jats:italic>p<\/jats:italic>\u2009=\u20090.49), unstable angina pectoris (UAP) (OR\u2009=\u20091.04, <jats:italic>p<\/jats:italic>\u2009=\u20090.93), non-ST segment elevation myocardial infarction (NSTEMI) (OR\u2009=\u20091.16, <jats:italic>p<\/jats:italic>\u2009=\u20090.82), recurrent myocardial infarction (MI) (OR\u2009=\u20090.78, <jats:italic>p<\/jats:italic>\u2009=\u20090.56), stroke (OR\u2009=\u20090.35, <jats:italic>p<\/jats:italic>\u2009=\u20090.07), heart failure (OR\u2009=\u20090.41, <jats:italic>p<\/jats:italic>\u2009=\u20090.24), in-hospital mortality (OR\u2009=\u20090.35, <jats:italic>p<\/jats:italic>\u2009=\u20090.09), post-discharge mortality (OR\u2009=\u20091.66, <jats:italic>p<\/jats:italic>\u2009=\u20090.27), or ST segment elevation myocardial infarction (STEMI) (OR\u2009=\u20090.45, <jats:italic>p<\/jats:italic>\u2009=\u20090.23) between conservative management and revascularization procedures. However, sensitivity analysis reveals significant decreases in odds of inferior wall STEMI (OR\u2009=\u20090.41 [95% CI 0.17\u20130.97], <jats:italic>p<\/jats:italic>\u2009=\u20090.04) and heart failure (OR\u2009=\u20090.18 [95% CI 0.06\u20130.54], <jats:italic>p<\/jats:italic>\u2009=\u20090.002) in conservative treatment compared to revascularization group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Conservative therapy significantly decreased inferior wall STEMI and heart failure as compared to revascularization in SCAD. Although no significant differences in cardiovascular outcomes, sensitivity analysis highlights potential benefits of conservative management.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00585-0","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T12:27:43Z","timestamp":1732278463000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["In-hospital and long-term clinical outcomes of spontaneous coronary artery dissection (SCAD): a meta-analysis of conservative versus revascularization approaches"],"prefix":"10.1186","volume":"76","author":[{"given":"Anmol","family":"Pitliya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-7267","authenticated-orcid":false,"given":"Aakanksha","family":"Pitliya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srivatsa Surya","family":"Vasudevan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumari Priya","family":"Yadav","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Bilal","family":"Shabbir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaghaf","family":"Zahoor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisha","family":"Shabbir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulgafar Dare","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bijay Mukesh","family":"Jeswani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramya Reddy","family":"Jonnala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramit","family":"Singla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"585_CR1","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/j.hfc.2021.07.015","volume":"18","author":"M W\u00fcrdinger","year":"2022","unstructured":"W\u00fcrdinger M, Cammann VL, Ghadri JR, Templin C (2022) Spontaneous coronary artery dissection: A rare event? 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