Clinical Practice and Cases in Emergency Medicine
An Unusual Presentation of Postpartum Spontaneous Coronary Artery Dissection
- Author(s): Alterie, Jonathan D.
- Villanueva, Francis
- Arekat, Mohamed
- Brill, April
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2019.4.41305
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.