Spontaneous coronary artery dissection is a cause of myocardial infarction in young apparently healthy individuals. While most cardiac rehabilitation programs are fully capable of caring for these individuals in a supervised setting, their young age and often very physically fit condition can necessitate a different set of issues for their care versus the care for a more traditional patient. This case study describes a young, physically fit woman diagnosed with spontaneous coronary artery dissection who underwent a home-based cardiac rehabilitation program administered by a clinical exercise physiologist.