List of Abbreviations:SCAD (Spontaneous coronary artery dissection), MI (Myocardial infarction), PCI (Percutaneous coronary intervention), UA/NSTEMI (Unstable angina and non-ST-elevation MI), TIMI (Thrombolysis in myocardial infarction), MAE (Major adverse events), TIA (Transient ischemic attack), MACE (Major adverse cardiovascular events), VF/VT (Ventricular fibrillation or ventricular tachycardia), LMT (Left main trunk), LAD (Left anterior descending artery)
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In this registry-based cohort study of spontaneous coronary artery dissection (SCAD) patients, we evaluated the role of revascularization for SCAD according to presentation (STEMI vs. UA/NSTEMI). Despite higher in-hospital events with revascularization, and higher revascularization with SCAD-STEMI, 1-year major adverse cardiovascular event-rate was not different compared to UA/NSTEMI. This is reassuring since revascularization may be required for ongoing ischemia at the time of presentation in STEMI-SCAD, and emphasizes the need for careful patient selection for revascularization in UA/NSTEMI.