Spontaneous Coronary Artery Dissection (SCAD) – What you need to know

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These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.

RP
0.5 mins

Reviewing Performance (RP)
These are activities that require reflection on feedback about your work.

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Measuring Outcomes (MO)
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Description

In this episode:

  • SCAD is the leading cause of heart attacks in women under 50, often caused by bleeding in the artery wall that leads to tearing
  • SCAD is linked to genetic factors affecting collagen and tissue strength, with emotional stress being a common trigger
  • Diagnosis can be challenging, as young women with chest pain aren’t typically suspected of having heart attacks; troponin testing is crucial for detection
  • Unlike atherosclerosis, SCAD is treated conservatively with beta blockers (preferably long-term) and limited use of antiplatelet therapy
  • The risk of recurrence is 20-30%, and prevention includes beta blockers, treating high blood pressure, and screening for fibromuscular dysplasia

 

Experts: Prof Jason Kovacic, Clinical Cardiologist

Host: Dr David Lim, GP and Medical Educator

Total time: 44 mins

 

Recommended resources:

Last Updated: 18 Mar, 2025

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Prof Jason Kovacic

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Prof Jason Kovacic

Clinical Cardiologist, St Vincent’s Hospital; Director and CEO, Victor Chang Cardiac Research Institute; Chair and Professor of Medicine, The University of NSW; Adjunct Professor, The University of Western Australia

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