Overview
- Serbian SCAD Registry analysis of 123 cases from 14 centers (Nov 2021–Nov 2024) found 85.4% were women with a mean age of 47.5 years.
- Non-pregnant younger and menopausal patients featured prominently, with hypertension (49.6%) and dyslipidaemia (46.3%) common and mental stress the leading reported trigger (38.5%).
- Intracoronary imaging confirmed diagnosis in 26.0% of patients, highlighting opportunities to improve diagnostic accuracy.
- In-hospital MACE occurred in 23.6% with 8.1% mortality; at 30 days, MACE was 18.1% with 0.8% mortality, and complete resolution was seen in 62.2%.
- PCI was performed in 41.5% and stents in 28.5%, yet stent implantation and depression independently predicted MACE, reinforcing recommendations for conservative therapy and further trials alongside the ESC’s larger multinational registry.