Kiernan Thomas J, Rochford Martin
Int J Cardiol. 2007 Jan 8;114(2):E75-6. doi: 10.1016/j.ijcard.2006.07.113. Epub 2006 Oct 30.
A 34-year-old woman presented to the Emergency Department with substernal chest pain, 7 days after a normal vaginal delivery. Acute myocardial infarction was diagnosed based on ECG changes and elevated serum troponin levels. Coronary angiography revealed a spontaneous coronary dissection of the left anterior descending (LAD) coronary artery. The patient was managed medically and recovered well clinically with healing of the dissection on repeat angiography 10 days later. Of note the patient had a high titre of anticardiolipin antibody (IgM) detected and this is only the second case described in the literature of an association between spontaneous coronary artery dissection and antiphospholipid antibody syndrome.
一名34岁女性在正常阴道分娩7天后因胸骨后胸痛就诊于急诊科。根据心电图变化和血清肌钙蛋白水平升高诊断为急性心肌梗死。冠状动脉造影显示左前降支（LAD）冠状动脉自发性夹层。患者接受药物治疗，临床恢复良好，10天后复查造影显示夹层愈合。值得注意的是，检测到该患者抗心磷脂抗体（IgM）滴度很高，这是文献中描述的第二例自发性冠状动脉夹层与抗磷脂抗体综合征相关的病例。
