An Unusual Presentation of Postpartum Spontaneous Coronary Artery Dissection

Clin Pract Cases Emerg Med. 2019 May 20;3(3):229-232. doi: 10.5811/cpcem.2019.4.41305. eCollection 2019 Aug.

Abstract

The postpartum population is one with a unique physiologic profile that predisposes these patients to rare and often life-threatening conditions. Herein, we discuss a case of a 37-year-old, multiparous female who presented to the emergency department with vague chest discomfort 14 days after delivering her sixth child via vaginal delivery. The patient was found to have elevated cardiac biomarkers and was ultimately diagnosed with pregnancy-related spontaneous coronary artery dissection (P-SCAD). This case report discusses the evaluation, pathophysiology, workup, and management of P-SCAD.

Publication types

  • Case Reports