Table 2. Clinical features that raise suspicion of SCAD.

Myocardial infarction in young women (especially age ≤50)

Absence of traditional cardiovascular risk factors

Little or no evidence of typical atherosclerotic lesions in coronary arteries

Peripartum state

History of fibromuscular dysplasia

History of relevant connective tissue disorder: Marfan’s syndrome, Ehler Danlos syndrome, cystic medial necrosis, fibromuscular dysplasia

History of relevant systemic inflammation: systemic lupus erythematosus, Crohn’s disease, ulcerative colitis, polyarteritis nodosa, sarcoidosis

Precipitating stress events, either emotional or physical (intensive exercise)

SCAD, spontaneous coronary artery dissection.