Atypical Presentation of Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome, more common in young women without risk factors for, or a history of, coronary artery disease and usually occurs in the peripartum period. There are two types of SCAD: atherosclerotic and nonatherosclerotic coronary artery dissection. Management options include conservative management, percutaneous coronary intervention, or surgical intervention, depending on the presentation and extent of the dissection. We present reports of two cases of SCAD (one man and one woman) presenting to the emergency department of our community hospital in February 2020 with nonspecific symptoms.