Medical experts are warning that neck pain may be a symptom of spontaneous coronary artery dissection (SCAD), a rare heart condition that cannot be predicted or prevented. SCAD occurs when one or more layers of a coronary artery separate, allowing blood to seep between them and form clots that can trigger a heart attack.
The British Heart Foundation (BHF) states that the condition often strikes without warning in people with no conventional risk factors for heart disease. While it predominantly affects women aged 45 to 53, it can occur in anyone. The BHF emphasises that 'the condition can’t currently be predicted or prevented' and urges anyone experiencing symptoms to seek immediate medical help.
Warning signs of SCAD can mimic those of angina or a heart attack, including chest discomfort, neck pain, and other symptoms. The BHF advises dialling 999 straight away if these occur. Approximately 80% of SCAD cases affect women, and it frequently develops during pregnancy or shortly after.
Treatment options include medication to prevent blood clots, stents to keep the affected artery open, or, in rare cases, coronary artery bypass surgery. The BHF notes that a SCAD diagnosis can be frightening and isolating, and encourages patients to talk about their feelings with loved ones, a GP, or a counsellor.
