Key result
Early recognition and prompt left cardiac catheterization for pregnancy-related SCAD improve maternal outcomes.
Highlights the importance of early recognition and diagnosis of pregnancy-related spontaneous coronary artery dissection in peripartum and postpartum women presenting with acute chest pain.
May warrant SCAD consideration in peripartum chest pain; leaves open need for prospective validation.
Pregnancy-related spontaneous coronary artery dissection (P-SCAD) is a rare but life-threatening condition of the peripartum and postpartum mother. The gold standard of diagnosing P-SCAD is a left cardiac catheterization; however, this diagnostic tool may not be used early because myocardial infarction is not typically a top differential diagnosis for women and especially young pregnant women presenting with acute chest pain. Providers and registered nurses, particularly those in the prehospital setting, the emergency department, and labor and delivery units, should be aware of signs, symptoms, potential risk factors, and diagnostic results that could indicate P-SCAD and initiate early and appropriate treatment to improve maternal outcomes.
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Julie R. Robinson (2018) conducted a review in Pregnancy-related spontaneous coronary artery dissection (P-SCAD). Early recognition of pregnancy-related spontaneous coronary artery dissection and prompt left cardiac catheterization are essential to improve maternal outcomes in women presenting with acute chest pain.
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