A Case of Peripartum Spontaneous Coronary Artery Dissection in a Woman With a History of Obesity.
| Autor: | Rizvi TA; Internal Medicine, Staten Island University Hospital, Staten Island, USA., Khan S; Internal Medicine, Staten Island University Hospital, Staten Island, USA., Mustafa A; Internal Medicine, Staten Island University Hospital, Staten Island, USA., Tabet R; Cardiology, Staten Island University Hospital, Staten Island, USA., Lafferty JC; Cardiology, Staten Island University Hospital, Staten Island, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Dec 27; Vol. 14 (12), pp. e33021. Date of Electronic Publication: 2022 Dec 27 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.33021 |
| Abstrakt: | Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) with a high prevalence in young pregnant females. A 38-year-old female with a history of morbid obesity status post-bariatric surgery presented with chest pain. The electrocardiogram (EKG) revealed ST-segment elevation in the inferior leads as well as slightly elevated troponin. Urgent cardiac catheterization showed SCAD, and she was subsequently managed with medical therapy. We hypothesize that the history of obesity leads to a compromise in the coronary vasculature, thereby predisposing the patient to SCAD. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Rizvi et al.) |
| Databáze: | MEDLINE |
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