Conclusion and results:
SCAD is becoming an entity that is more recognized, especially in young women without prior risk factors. Distal LAD is the most affected vessel, mostly managed conservatively, but proximal SCAD is rare and requires invasive treatment such as PCI, increasing the risk of possible complications. Therefore, the location of the lesion is critical to risk stratify the patient and requires close follow up with enrollment in the national SCAD registry to help researchers better understand this condition.