• Contemporary medical therapy, including antiplatelet agents, statins, and beta-blockers, remains the cornerstone of SCAD management, with revascularization reserved for high-risk or symptomatic patients.
• Advanced imaging modalities such as coronary CT angiography and fractional flow reserve improve diagnostic accuracy and guide revascularization decisions.
• Lifestyle modifications, including exercise, diet, and smoking cessation, are essential adjuncts to pharmacological therapy and significantly reduce cardiovascular events.
• Individualized treatment strategies based on ischemic burden and patient preferences are critical to optimizing outcomes and minimizing unnecessary procedures.
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