Why the study?
SCAD is the most common cause of myocardial infarction in pregnant and postpartum women but is often underdiagnosed due to a lack of clinician familiarity.
Highlights the importance of considering Spontaneous Coronary Artery Dissection (SCAD) in pregnant and postpartum women presenting with acute chest pain.
May prompt SCAD consideration in postpartum chest pain; hypothesis-generating case report that leaves open need for prospective data.
Spontaneous Coronary Artery Dissection (SCAD) is an important cause of myocardial infarction that typically affects women without traditional cardiovascular risk factors. It is the most common cause of myocardial infarction in pregnant and postpartum women. SCAD is often underdiagnosed due to the lack of clinician familiarity, and patients with pregnancy-associated SCAD often have more severe clinical presentations than those without. We present a case of SCAD in a multiparous woman who presented with acute chest pain in the postpartum period.
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Yogeswaran et al. (2021) studied this question.
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