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Given the demographics of SCAD, it is important to maintain a high index of suspicion for the condition in otherwise low-risk women presenting with symptoms of acute coronary syndrome. Initial evaluation may show ECG changes of ST elevation, like heart attacks due to other causes. SCAD comprises 2-4% of all cases of acute coronary syndrome.
In fact, most heart attacks occur after age 45 for men and after age 55 for women, according to the National Heart, Lung, and Blood Institute. Family history can also play a role in our heart ...
Say your female parent or sister had a cardiac event such as stroke, heart attack, stent or bypass surgery before 65 — that tells the doctor you have a positive family history.
Myocardial infarction; Other names: Acute myocardial infarction (AMI), heart attack: A myocardial infarction occurs when an atherosclerotic plaque slowly builds up in the inner lining of a coronary artery and then suddenly ruptures, causing catastrophic thrombus formation, totally occluding the artery and preventing blood flow downstream to the heart muscle.
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“The heart sits right on top of the esophagus in the stomach, so sometimes heartburn can feel like a heart attack, and a heart attack can feel like heartburn,” says Dr. Michos.
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The first SCAD report was recorded almost 95 years ago. On November 12, 1930, Harold C. Pretty, MD, was summoned to the home of a 42-year-old married mother of four who had been vomiting all night.