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. Author manuscript; available in PMC: 2018 May 17.
Published in final edited form as: Circulation. 2018 Feb 22;137(19):e523–e557. doi: 10.1161/CIR.0000000000000564

Figure 9. Evaluation and management of chest pain after spontaneous coronary artery dissection (SCAD).157,170.

Figure 9

aCurrent guidelines.135 bHigh-risk anatomy indicates SCAD affecting the left main or 2 proximal coronary arteries. cMedical management for post-SCAD chest pain (CP) without obstructive disease: long-acting nitrates, calcium channel blockers, or ranolazine. ACS indicates acute coronary syndrome; CA, coronary angiography; CAD, coronary artery disease; CCTA, coronary computed tomography angiography; CMR, cardiac magnetic resonance; DDx, differential diagnosis; and echo, echocardiography.