This case series and review emphasizes the importance of recognizing SCAD as a cause of myocardial infarction in young women, particularly during the postpartum period, to facilitate prompt and accurate diagnosis.
Warrants clinical awareness for SCAD in peripartum women; leaves open management strategies without randomized trials.
Spontaneous coronary artery dissection (SCAD) is an important and rare cause of myocardial infarction (MI), particularly among young women without traditional atherosclerotic risk factors. Late pregnancy and postpartum period are associated with more risk for developing SCAD. No enough data exist regarding the ideal management of SCAD due to lack of randomized trials comparing medical therapy and revascularization strategies. We present three cases of SCAD, two of them were postpartum women while one involved an obese young woman with no identifiable risk factors. We describe the pathophysiology, types of SCAD, risk factors, clinical presentation, and management approach. This case series highlights the need to raise awareness of SCAD and to facilitate accurate diagnosis promptly.
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Manasrah et al. (2021) studied this question.
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