I Had a Heart Attack at 35. This is My Story. A rare, spontaneous heart condition called SCAD almost cost me my life. MORGAN DRUTCHAS SPECIAL TO THE JEWISH NEWS Health I t was an ordinary Wednesday at my new job as a 35-year-old human resources manager when I began to have chest pain unlike anything I’ d ever experienced. The pain was searing; I went from sweating hot to cold and clammy. My colleague, whom I had known only for a couple days, looked at me with concern. “We are calling 9-1-1.” Everything in me wanted to fight this. I was a petite, healthy and fit young woman with no cardiac risks, perfect cholesterol and blood pressure, and no family history of heart attacks. I exercised regularly, maintained a healthy weight, never did drugs or smoked cigarettes, had just spent a week climbing the Mayan ruins in Mexico without issue and hadn’ t even been on oral contraceptives in years. I had no idea what this was, but I was as concerned about cardiac issues as I was about an alien invasion. And yet even as I thought my colleague was overreacting, I was experiencing the oddest pain of my life. The shocking and terrifying events that occurred in the days following have changed my life. I suffered two heart attacks only four days apart; the second was so severe and life-threatening that I spent three weeks in the cardiac intensive care unit on the brink of death, with stents, a cardiac pump and IV medications to help my heart contract. SPONTANEOUS CORONARY ARTERY DISSECTION So, what happened? I suffered from a Spontaneous Coronary Artery Dissection (SCAD), which occurs when the inner lining of the heart’ s coronary arteries tears, causing blood to pool and halting blood flow and oxygen to critical heart muscle, leading to a heart attack. This is not the type of heart attack we commonly think of, the one caused by a buildup of cholesterol plaque. Because I’ m not in the demographic commonly considered at risk for heart disease (namely older males, those with diabetes, those who smoke, etc.), the thought I might be experiencing a heart attack surprised even the colleague who witnessed it. I’ ve learned that SCAD is more common than we think: The American Heart Association says it is the leading cause of heart attacks for women between the ages of 35 and 50. An overwhelming number of all SCAD cases occur spontaneously in young women, with no known cause. Unfortunately, there’ s no way to test who’ s at risk or know when it’ s happening until you have a heart attack. That’ s why it’ s so important to spread awareness about this dangerous condition. SCAD remains largely undiscussed in the broader community. The first medical study wasn’ t completed until 2018, even though the medical community has known of the condition since 1931. The harmful bias that only older males have heart attacks still exists, both within healthcare and the population at large. Even when I went into the second ER with severe chest pain, my sister, a physician who happened to be in town that weekend, advocated for me to 42 | MARCH 26 • 2020 As a healthy young woman, Morgan Drutchas of Bloomfield Hills enjoyed travel and the outdoors. Climbing Mayan ruins in Mexico COURTESY OF MORGAN DRUTCHAS 042_DJN032620_HW SCAD Morgan March 26.indd 42 042_DJN032620_HW SCAD Morgan March 26.indd 42 3/23/20 11:24 AM 3/23/20 11:24 AM