Spontaneous coronary artery dissection (SCAD) is a heterogeneous condition that often presents as an acute coronary syndrome in young patients with a paucity of cardiovascular risk factors. In most registries, >90% of patients with SCAD are women.1 SCAD is primarily a non‐atherosclerotic, non‐calcified, non‐iatrogenic dissection of the coronary artery resulting from either an intramural hematoma (IMH) alone, an intimal tear alone, or both an IMH and an intimal tear.