Introduction: Spontaneous Coronary Artery Dissection (SCAD) is a rising and significant cause of acute coronary syndrome, particularly in younger women 1 who do not present with traditional cardiovascular risk factors2. In women under 50 with acute coronary syndrome (ACS), SCAD was associated with 23% of cases3. SCAD often leads to misdiagnosis or delayed diagnosis. Its presentation may be atypical and diagnostic findings can initially appear normal. In is case report aims to emphasize the importance of a thorough evaluation in female patients presenting with symptoms of myocardial ischemia, regardless of their apparent low risk, to prevent potentially fatal outcomes.
