Acute myocardial infarction caused by spontaneous postpartum coronary artery dissection

被引：16
作者：
Satoda, Masahiko
Takagi, Kensuke
Uesugi, Michitaka
Morishima, Itsuro
Mukawa, Hiroaki
Tsuboi, Hideyuki
Sone, Takahito
机构：
[1] Ogaki Municipal Hosp, Caridac Catherizat Labs, Ogaki, Japan
[2] Nagoya Univ, Sch Med, Nagoya, Aichi, Japan
来源：
NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE | 2007年 / 4卷 / 12期
关键词：
intravascular ultrasonography; myocardial infarction; postpartum female; spontaneous coronary artery dissection;
D O I：
10.1038/ncpcardio1055
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background A 34-year-old postpartum woman presented at hospital with chest pain. She had experienced an uneventful delivery of a healthy infant and had no known coronary risk factors. Electrocardiography demonstrated an acute myocardial infarction, which resolved on intravenous glyceryl trinitrate infusion. Coronary angiography revealed diffuse narrowing of the left anterior descending artery and tapering of the left main trunk, but there were no obvious hallmarks of intimal dissection. Investigations Electrocardiography, coronary angiography, multidetector CT and intravascular ultrasonography. Diagnosis Postpartum coronary artery dissection. Management The lesion was stabilized with orally administered amlodipine, aspirin, ticlopidine and pitavastatin, along with intravenous heparin and glyceryl trinitrate. The patient was later discharged on bisoprolol, aspirin, pitavastatin and temocapril.
引用
收藏
页码：688 / 692
页数：5
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