Pregnancy After Spontaneous Coronary Artery Dissection: A Case Series

Letters21 April 2015Pregnancy After Spontaneous Coronary Artery Dissection: A Case SeriesMarysia S. Tweet, MD, Sharonne N. Hayes, MD, Rajiv Gulati, MD, PhD, Carl H. Rose, MD, and Patricia J.M. Best, MDMarysia S. Tweet, MDFrom Mayo Clinic College of Medicine, Rochester, Minnesota., Sharonne N. Hayes, MDFrom Mayo Clinic College of Medicine, Rochester, Minnesota., Rajiv Gulati, MD, PhDFrom Mayo Clinic College of Medicine, Rochester, Minnesota., Carl H. Rose, MDFrom Mayo Clinic College of Medicine, Rochester, Minnesota., and Patricia J.M. Best, MDFrom Mayo Clinic College of Medicine, Rochester, Minnesota.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-0446 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Spontaneous coronary artery dissection (SCAD) is an increasingly recognized and potentially fatal cause of myocardial infarction (MI) that predominantly affects young women (1, 2). Pregnancy is considered a contributory factor in approximately 12% to 30% of events (1, 3, 4) and recurrence is now recognized, with 10-year Kaplan–Meier estimated rates as high as 29% (1). Current recommendations to avoid pregnancy after SCAD are based on the presumed increased risk for recurrence with pregnancy, although, to our knowledge, assessment of pregnancy after SCAD has not been described.Objective: To determine the risk for subsequent events in patients who became pregnant ...References1. Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126:579-88. [PMID: 22800851] doi:10.1161/CIRCULATIONAHA.112.105718 CrossrefMedlineGoogle Scholar2. Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS, et al. Spontaneous coronary artery dissection: revascularization versus conservative therapy. Circ Cardiovasc Interv. 2014;7:777-86. [PMID: 25406203] doi:10.1161/CIRCINTERVENTIONS.114.001659 CrossrefMedlineGoogle Scholar3. Thompson EA, Ferraris S, Gress T, Ferraris V. Gender differences and predictors of mortality in spontaneous coronary artery dissection: a review of reported cases. J Invasive Cardiol. 2005;17:59-61. [PMID: 15640544] MedlineGoogle Scholar4. Mortensen KH, Thuesen L, Kristensen IB, Christiansen EH. Spontaneous coronary artery dissection: a Western Denmark Heart Registry study. Catheter Cardiovasc Interv. 2009;74:710-7. [PMID: 19496145] doi:10.1002/ccd.22115 CrossrefMedlineGoogle Scholar5. Eleid MF, Guddeti RR, Tweet MS, Lerman A, Singh M, Best PJ, et al. Coronary artery tortuosity in spontaneous coronary artery dissection: angiographic characteristics and clinical implications. Circ Cardiovasc Interv. 2014;7:656-62. [PMID: 25138034] doi:10.1161/CIRCINTERVENTIONS.114.001676 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Mayo Clinic College of Medicine, Rochester, Minnesota.Acknowledgment: The authors thank the patients participating in the Mayo Clinic SCAD Registry and acknowledge Jill Boyum; Michelle Schoeppner; Diane Vrieze; and Sue Ward, RN, for their registry work.Financial Support: This study was funded in part by the Mayo Clinic Division of Cardiovascular Diseases, Chicago Mercantile Exchange Foundation, and SCAD Research, Inc.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0446. 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SchwangerschaftswocheSpontaneous Coronary Artery DissectionFocused Cardiovascular Care for WomenWhat Clinicians Should Know Αbout Spontaneous Coronary Artery Dissection 21 April 2015Volume 162, Issue 8Page: 598-600KeywordsCesarean sectionCoronary arteriesDisclosureMultiple sclerosisPlacentaPosttraumatic stress disorderPregnancyRisk managementSystemic mastocytosisTransient ischemic attacks ePublished: 21 April 2015 Issue Published: 21 April 2015 CopyrightCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...