Pregnancy-Associated Spontaneous Coronary Artery Dissection:  A Case Report and the Lessons from Practice

Author: Tan Wei Ming ^{1
,

2} ; Julian Tey Hock Chuan ³ ; Asri Ranga Abdullah Ramaiah ³ ; Hana Maizuliana Solehan ^{1
,

2} ; Sarah Zulaikha Samad ^{1
,

2} ; Sia Koon Ket ²
Author Information

1. Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia (USIM), Persiaran Ilmu, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia&
2. Department of Internal Medicine, Hospital Ampang, Jalan Mewah Utara, Taman Pandan Mewah, 68000 Ampang Jaya, Selangor, Malaysia
3. Department of Cardiology, Hospital Serdang, Jalan Puchong, 43000 Kajang, Selangor, Malaysia
Publication Type:Case Reports
Keywords: Coronary artery dissection, Pregnancy, Spontaneous
From:Malaysian Journal of Medicine and Health Sciences 2023;19(No.2):344-346
CountryMalaysia
Language:English
Abstract: Pregnancy-associated spontaneous coronary artery dissection (P-SCAD) is one of the fatal conditions that most commonly causes pregnancy-associated myocardial infarction. We herein report a case of P-SCAD in a 26-year-old multigravida woman, who complained of angina postpartum with raised cardiac biomarkers and transient ST-segment elevation on electrocardiograms. We emphasize the importance of a high degree of suspicion in the diagnosis of P-SCAD, together with the common presentation, the management approach, and its psychological impacts on the patients.
Full text:11.2023my1499.pdf