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Is there a potential role that hormonal replacement therapy can play in contributing to the development of SCAD?

If an elderly woman presented with inferolateral ST elevations and was diagnosed with a distal PL Branch SCAD, causing an acute myocardial infarction and her medication regimen included topical estrogen patches and oral progesterone, how would you manage her hormone replacement therapy post-SCAD?
1 Answer
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Cardiology · Ohio State University Cardiovascular Medicine
Answered on

Spontaneous coronary artery dissection (SCAD) is an infrequent if not rare cause of acute coronary syndrome (ACS). SCAD is estimated to occur in 0.7-1.1% of acute infarctions. In patients, especially female, who present with an ACS but have a low risk profile for coronary disease, SCAD should be con...

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