Key result
Conservative medical therapy successfully manages peripartum SCAD in a morbidly obese patient.
Why the study?
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome with a high prevalence in young pregnant females.
Case Report (n=1)
No
This case highlights that traditional cardiovascular risk factors such as obesity may predispose patients to peripartum spontaneous coronary artery dissection, which can be successfully managed with conservative medical therapy.
May support conservative management in select peripartum SCAD; leaves open obesity's role and requires prospective validation.
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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Rizvi et al. (2022) conducted a case report in Spontaneous coronary artery dissection (SCAD) (n=1). Conservative medical therapy was evaluated. A 38-year-old female with a history of morbid obesity presented with peripartum spontaneous coronary artery dissection and was successfully managed with conservative medical therapy.
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