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Spontaneous coronary artery dissection (SCAD) is rarely observed. Percent of 80 has not additional risk factor for coronary artery diseases and observed in young women who uses oral contraceptive or during peripartium period. This case is SCAD in a male patient who presents with symptoms suggestive acute myocardial ischemia and is under severe smoking and prolonged insomnia.

Spontaneus Coronary Artery Disection Resulted From Severe Smoking and Prolonged Insomnia