ArticleCureus2025
The Great Cardiac Masquerade: Distinguishing Acute Coronary Syndrome From Myocarditis and Spontaneous Coronary Artery Dissection in a Middle-Aged Woman With Chest Pain.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
Spontaneous coronary artery dissection (SCAD) is a rare, nonatherosclerotic cause of acute coronary syndrome (ACS), resulting from the formation of a false lumen and propagation of an intramural hematoma within the coronary artery wall. This process can lead to luminal narrowing, myocardial ischemia, and anginal symptoms. Because SCAD often presents with clinical and electrocardiographic features similar to obstructive ACS, as well as other close mimics such as myocarditis, misdiagnosis is common. Given the differences in management strategies, this can lead to suboptimal or even harmful outcomes. Here, we present the case of a 54-year-old woman with no traditional cardiovascular risk factors who presented with chest pain, had a nondiagnostic echocardiogram arguing against myocarditis, and was ultimately diagnosed with SCAD on coronary angiography.
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