Spontaneous Coronary Artery Dissection

(SCAD)

Symptoms

Since spontaneous coronary artery dissection (SCAD) occurs suddenly without warning, there aren’t any symptoms of it until you’re actually having a heart attack. Heart attack symptoms include the following:

  • Chest pain or tightness, sometimes extending to the arms, shoulders, or jaw
  • Shortness of breath
  • Nausea
  • Dizziness
  • Sweating
  • Epigastric pain (pain just below the ribs)

Symptoms in women

The heart attack severity associated with SCAD can range from mild to severe. It should be noted that women* can present with atypical symptoms, especially those with connective tissue disorder. These symptoms may include the following:

  • Sudden onset of weakness
  • Shortness of breath
  • Nausea
  • Vomiting
  • Indigestion
  • Body aches
  • An overall feeling of illness
  • Unusual feeling or mild discomfort in the back, chest, arm, neck, or jaw (with or without chest pain)
  • Sleep disturbance
Black female doctor showing digital tablet to senior patient

Women's Cardiovascular Health

It's important for women to learn about their cardiovascular health, as women overall seem to have poorer outcomes from heart disease treatment than men.

*The term “women” in the context of “women’s cardiovascular health” applies to individuals assigned female at birth (AFAB) who have a female biological reproductive system, which includes a vagina, uterus, ovaries, Fallopian tubes, accessory glands, and external genital organs.

*The term “men” in the context of “cardiovascular health” applies to individuals assigned male at birth (AMAB) who have a male biological reproductive system, which includes a penis, scrotum, testes, epididymis, vas deferens, prostate, and seminal vesicles.