Managing cardiac arrest secondary to spontaneous coronary artery dissection: should we routinely consider ICD implantation? Insights from the Parma SCAD registry

Summary. Background. Cardiac arrest secondary to a spon taneous coronary artery dissection (SCAD) represents a chal lenging scenario. Methods. We collected clinical data from four women admitted in the Coronary Care Unit (CCU) of the Parma University Hospital over the last two years for cardiac arrest with the angiographic diagnosis of SCAD. Results. Three patients survived the acute phases. One patient, being considered at high risk of SCAD recurrence, received a sub cutaneous implantable cardioverter-defibrillator (S-ICD). Conclusions. The acute management of cardiac arrest related to SCAD deserves specific consideration. The residual myo cardial damage and the predisposing and precipitants fac tors should be evaluated, in order to estimate the SCAD recurrence and sudden cardiac death risks