Dr. Atul Limaye, a renowned cardiology consultant at Fortis Hospital in Mulund, delves into the perplexing topic of SCAD or Spontaneous Coronary Artery Dissection. SCAD is an infrequent yet perilous heart condition marked by the spontaneous tearing of a coronary artery, leading to a blockage in blood flow to the heart. Notably, SCAD predominantly affects women in their younger to middle-aged years, often striking those without conventional heart disease risk factors. Symptoms can mimic a heart attack, causing chest pain and breathlessness. Unlike atherosclerotic heart disease, SCAD doesn't involve arterial plaque build-up. Prompt diagnosis through coronary angiography is vital, as treatment may entail medications, stents, or bypass surgery.