SCAD medical management does not differ essentially from the treatment of ACS although supported by limited evidences. Additionally, a conservative strategy is associated with better in-hospital outcomes compared to the revascularization's ones but no significant differences in the long-term outcomes have ever been found (65,103). A distal location of the dissection as well as TIMI flow score 2 or 3 may be considered predictive factors leading to the use of a conservative approach (103).The aims of this kind of treatment is to alleviate symptoms, improve outcomes and prevent recurrence of SCAD.