I had my first SCAD at 32 (2014) and went from 0% to 100% blockage in my LAD immediately. My next SCAD was at 37 (2018) in my PDA. Both were at times of extreme chronic stress, mostly at work, and Dr. Hayes did find some very mild FMD. I started a different job and simplified my life and I think it might be working. I've always enjoyed running, eat healthy, never smoked or used drugs. After the first SCAD I certainly felt like it wasn't fair that I do all the right things and had a heart attack when there are so many people with unhealthy habits that seem okay. I got over it. I also believe that my healthy habits probably contributed to surviving both STEMIs with flying colors. Of course my mother is always worried about me. I tell her I'm not going to live my life in fear of another heart attack. I'm going to keep doing the things I enjoy. If I check out early from another SCAD, at least I did it enjoying life.