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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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
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author Rizvi, Taqi A
Khan, Shahkar
Mustafa, Ahmad
Tabet, Rabih
Lafferty, James C
author_facet Rizvi, Taqi A
Khan, Shahkar
Mustafa, Ahmad
Tabet, Rabih
Lafferty, James C
author_sort Rizvi, Taqi A
collection PubMed
description 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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spelling pubmed-98801372023-01-30 A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity Rizvi, Taqi A Khan, Shahkar Mustafa, Ahmad Tabet, Rabih Lafferty, James C Cureus Cardiology 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. Cureus 2022-12-27 /pmc/articles/PMC9880137/ /pubmed/36721534 http://dx.doi.org/10.7759/cureus.33021 Text en Copyright © 2022, Rizvi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Rizvi, Taqi A
Khan, Shahkar
Mustafa, Ahmad
Tabet, Rabih
Lafferty, James C
A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity
title A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity
title_full A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity
title_fullStr A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity
title_full_unstemmed A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity
title_short A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity
title_sort case of peripartum spontaneous coronary artery dissection in a woman with a history of obesity
topic Cardiology
url 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
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