Acute myocardial infarction due to coronary dissection in early postpartum
Cor et Vasa, cilt.58, sa.4, 2016 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 58 Sayı: 4
- Basım Tarihi: 2016
- Doi Numarası: 10.1016/j.crvasa.2015.06.003
- Dergi Adı: Cor et Vasa
- Derginin Tarandığı İndeksler: Scopus
- Anahtar Kelimeler: Breastfeeding, Coronary dissection, Myocardial infarction, Postpartum
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Akdeniz Üniversitesi Adresli: Evet
Özet
Spontaneous coronary artery dissection (SCAD) is a rare but well known cause of myocardial ischemia. The majority of the victims are young who have a few cardiac risk factors. SCAD typically causes large myocardial infarction and presents significant challenges to diagnosis and management. SCAD is the most common cause of myocardial ischemia during peripartum and postpartum period in woman of childbearing age. We present a case of acute anterior myocardial infarction (MI) in a breastfeeding woman, 13 days after delivery. The presumed cause was flow limiting left anterior descending (LAD) artery dissection, in the particular context of peripartum. We discuss briefly the epidemiology, pathophysiology, risk factors, diagnosis, treatment and prognosis of myocardial infarction related to pregnancy and postpartum period.