Clinical considerations during spontaneous coronary artery dissection in the post-partum period: a case report

BACKGROUND: Spontaneous coronary artery dissection (SCAD) is a common and under-recognized cause of myocardial infarction during the post-partum period. CASE SUMMARY: We report a case of a young women presenting with chest pain in the post-partum period. Her clinical appearance was that of a myocard...

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Detalles Bibliográficos
Autores principales: Schamroth Pravda, Nili, Houri, Ohad, Kornowski, Ran, Porter, Avital
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448854/
https://www.ncbi.nlm.nih.gov/pubmed/37637097
http://dx.doi.org/10.1093/ehjcr/ytad406
Descripción
Sumario:BACKGROUND: Spontaneous coronary artery dissection (SCAD) is a common and under-recognized cause of myocardial infarction during the post-partum period. CASE SUMMARY: We report a case of a young women presenting with chest pain in the post-partum period. Her clinical appearance was that of a myocardial infarction, and angiography was indicative of a Type 2 SCAD. The patients had persistent chest pain, reduced left ventricular function, and critical left anterior descending artery stenosis. Percutaneous coronary intervention was done with caution. Shared decision-making with the patient helped guide the medical treatment plan and follow-up. DISCUSSION: We discuss the clinical considerations surrounding the management of this patient.

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