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Coronary artery dissection
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Coronary artery dissection : ウィキペディア英語版
Coronary artery dissection

A coronary artery dissection (also known as spontaneous coronary artery dissection, or SCAD) is a rare, sometimes fatal traumatic condition, with eighty percent of cases affecting women. The coronary artery develops a tear, causing blood to flow between the layers which forces them apart.〔Robert Slight; Ali Asgar Behranwala; Onyekwelu Nzewi; Rajesh Sivaprakasam; Edward Brackenbury; Pankaj Mankad (2003) ("Spontaneous coronary artery dissection: a report of two cases occurring during menstruation" ) ''New Zealand Medical Journal'']〕 Early studies of the disease placed mortality rates at around 70% but more recent data indicate this figure may be closer to 18%.〔("Clinical course and long-term prognosis of spontaneous coronary artery dissection. " )〕
==Signs and symptoms==
The symptoms are often very similar to those of myocardial infarction (heart attack), with the most common being persistent chest pain.〔("Spontaneous Coronary Artery Dissection Postpartum" )〕

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