{
  "abstract": "Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognized cause of acute coronary syndrome (ACS) and sudden cardiac death. It has been associated with several predisposing factors, including hormone replacement therapy, autoimmune disorders, fibromuscular dysplasia (FMD), connective tissue diseases, atherosclerosis, migraine, pregnancy, and the postpartum period. SCAD most commonly affects young to middle-aged women who present with acute myocardial infarction (MI) despite the absence of traditional atherosclerotic risk factors. Coronary angiography remains the gold standard for diagnosis, allowing visualization of the characteristic dissection patterns within the coronary vessel wall. Management is typically conservative as spontaneous healing of the dissection is common; however, revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) may be necessary in patients with hemodynamic instability, ongoing ischemia, or failure of medical therapy.",
  "abstract_shown": true,
  "affiliations": [
    "Internal Medicine Resident Department of Internal Medicine Summa Health Hospital Akron Ohio USA.",
    "Cardiovascular Fellow Summa Health Hospital Akron Ohio USA.",
    "Interventional Cardiology Summa Health Hospital Akron Ohio USA."
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Harvey Nguyen",
      "orcid": "0009-0000-8026-6754"
    },
    {
      "affs": [
        0
      ],
      "name": "Paarth Sharma",
      "orcid": "0009-0008-9067-0425"
    },
    {
      "affs": [
        1
      ],
      "name": "Nicholas Berg",
      "orcid": "0000-0001-5270-7321"
    },
    {
      "affs": [
        2
      ],
      "name": "Saurav Uppal",
      "orcid": "0009-0005-4038-4939"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/brmzsqabrra2m.bib",
  "cited_by": 0,
  "doi": "10.1155/cric/3374538",
  "fulltext_url": "https://europepmc.org/articles/PMC13724152",
  "id": "brmzsqabrra2m",
  "issns": [
    "2090-6404",
    "2090-6412"
  ],
  "landing_url": "https://europepmc.org/article/MED/42968885",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Article"
    ],
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2705|Cardiovascular Issues in Pregnancy"
    ]
  ],
  "openalex": "W7225035002",
  "pdf_url": "https://europepmc.org/articles/PMC13724152?pdf=render",
  "pmcid": "PMC13724152",
  "pmid": "42968885",
  "published": "2026-11-01",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/brmzsqabrra2m.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:53Z",
      "native_id": "MED:42968885",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42968885"
    },
    {
      "first_seen": "2026-11-04T12:22:39Z",
      "native_id": "PMC13724152",
      "source": "pmc",
      "url": "https://doi.org/10.1155/cric/3374538"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiovascular Issues in Pregnancy",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Recurrent Spontaneous Coronary Artery Dissection.",
  "title_text": "Recurrent Spontaneous Coronary Artery Dissection.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-05T12:20:50Z",
  "url": "https://research.draconitic.com/paper/brmzsqabrra2m",
  "venue": "Case reports in cardiology",
  "versions": []
}