Spontaneous coronary artery dissection in a postpartum e-cigarette smoker
| Autor: | Aleksandr Kalininskiy, Himali Gandhi, Navid Ahmed, Jooyoung J. Shin |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Acute coronary syndrome medicine.medical_specialty Coronary Vessel Anomalies medicine.medical_treatment Dissection (medical) Electronic Nicotine Delivery Systems 030204 cardiovascular system & hematology Coronary Angiography Chest pain Electrocardiography 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Pregnancy Rare Disease Internal medicine Humans Medicine ST segment Vascular Diseases 030212 general & internal medicine Acute Coronary Syndrome Cesarean Section business.industry Smoking Stent Drug-Eluting Stents Puerperal Disorders General Medicine medicine.disease medicine.anatomical_structure Cardiology Female medicine.symptom business Breast feeding Postpartum period Artery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Spontaneous coronary artery dissection (SCAD) is a rare but lethal cause of acute coronary syndrome that occurs in young women during the peripartum/postpartum periods. We present a case of a 41-year-old woman with no significant medical history, but was a habitual e-cigarette smoker who presented with atypical chest pain 2 weeks after an uncomplicated delivery while breast feeding. The patient was found to have elevated cardiac enzymes and ST segment elevations in the anterior leads. An urgent cardiac catheterisation was performed, which revealed dissection and occlusion of the left anterior descending artery, and a drug-eluting stent was placed that resulted in the resolution of chest pain. Physiological changes during the postpartum period may be linked to an increased risk of developing SCAD. (1) In addition, e-cigarette smoking is associated with increased oxidative stress and sympathetic activity, which may predispose patients to an increased risk of acute coronary syndrome. |
| Databáze: | OpenAIRE |
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