A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) with a high prevalence in young pregnant females. A 38-year-old female with a history of morbid obesity status post-bariatric surgery presented with chest pain. The electrocardiogram (EKG) revealed ST-segm...

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Detalles Bibliográficos
Autores principales: Rizvi, Taqi A, Khan, Shahkar, Mustafa, Ahmad, Tabet, Rabih, Lafferty, James C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880137/
https://www.ncbi.nlm.nih.gov/pubmed/36721534
http://dx.doi.org/10.7759/cureus.33021
Descripción
Sumario:Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) with a high prevalence in young pregnant females. A 38-year-old female with a history of morbid obesity status post-bariatric surgery presented with chest pain. The electrocardiogram (EKG) revealed ST-segment elevation in the inferior leads as well as slightly elevated troponin. Urgent cardiac catheterization showed SCAD, and she was subsequently managed with medical therapy. We hypothesize that the history of obesity leads to a compromise in the coronary vasculature, thereby predisposing the patient to SCAD.

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