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Sharma AD, Sreeram G, Slaughter TF. Spontaneous coronary artery dissection in healthy 24-year-old woman. J Cardiothor Vasc Anesthesia 2000; 14: 312-13.

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Article

Coronary Artery Dissection: A Spontaneous Phenomena in Postpartum Period

1Internal Medicine, Maimonides Medical Center, New York, USA

2Surgery, New York University School of Medicine, New York, USA

3Internal Medicine, Shifa College of Medicine, Islamabad, Pakistan


American Journal of Medical Case Reports. 2019, Vol. 7 No. 7, 133-134
DOI: 10.12691/ajmcr-7-7-3
Copyright © 2019 Science and Education Publishing

Cite this paper:
Sanwal Sing Mehta, Muhammad Usman Asghar, Hira Cheema, Krishna Kommineni. Coronary Artery Dissection: A Spontaneous Phenomena in Postpartum Period. American Journal of Medical Case Reports. 2019; 7(7):133-134. doi: 10.12691/ajmcr-7-7-3.

Correspondence to: Muhammad  Usman Asghar, Surgery, New York University School of Medicine, New York, USA. Email: usmanjutt898@gmail.com

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare but life-threatening cause of acute coronary artery syndrome. Although, SCAD may be attributed to underlying medical illness such as connective tissue disease, vasculitis or atherosclerosis, its occurrence in young healthy females is an uncommon phenomenon. Pregnant females, particularly in their peripartum or post-partum periods are affected the most. The etiology remains unclear but certain factors such as hemodynamic and hormonal changes during pregnancy have thought to play a significant role. Spontaneous coronary artery dissection has a very high mortality rate and physicians should be vigilant when an otherwise young healthy female presents with symptoms of acute coronary syndrome.

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