Spontaneous Coronary Artery Dissection (SCAD) is an under-recognized cause of heart attacks that predominantly affects young women and can occur with little to no warning. This detailed exploration sheds light on the unique characteristics of SCAD, which involves the tearing of the coronary artery wall that can lead to a sudden and unexpected heart attack. The article delves into the epidemiology of SCAD, noting that it is responsible for a significant percentage of heart attacks in women under 50, a demographic traditionally considered low-risk for heart disease. By weaving together patient stories, the piece illustrates the challenges in diagnosing SCAD, which often presents with symptoms different from those of traditional heart attacks.

These symptoms can easily be mistaken for stress, anxiety, or more benign cardiac issues, leading to misdiagnoses. The narrative also includes insights from leading cardiologists specializing in SCAD, discussing the latest research into its causes, which remain poorly understood but include factors like hormonal changes, genetic predispositions, and possibly even stress. The conclusion emphasizes the need for increased awareness and research funding for SCAD to improve diagnostic protocols and treatment options, calling for a shift in how doctors approach heart disease in young women.