Pulivarthi Swaroopa, Lawal Taiwo, Li Dayuan, Gurram Murali Krishna
Department of Research, HealthEast Care System, St Paul, Minnesota, USA.
Department of Internal Medicine, HealthEast Care System, St Paul, Minnesota, USA.
Heart Views. 2014 Jul;15(3):80-2. doi: 10.4103/1995-705X.144795.
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction (AMI). We are presenting a case of a young woman with a history of untreated dyslipidemia presented with AMI secondary to left anterior descending coronary artery dissection during postpartum period. Physicians should be aware of this rare etiology of AMI which occurs during pregnancy and postpartum, since early diagnosis and treatment play a key role in saving both the mother and the baby. It is important to screen for other possible causes such as collagen vascular diseases, blunt injury to the chest, or cocaine abuse.
自发性冠状动脉夹层（SCAD）是急性心肌梗死（AMI）的一种罕见病因。我们报告一例有未经治疗的血脂异常病史的年轻女性，在产后发生左前降支冠状动脉夹层继发急性心肌梗死。医生应意识到这种在妊娠和产后发生的急性心肌梗死的罕见病因，因为早期诊断和治疗对挽救母婴均起着关键作用。筛查其他可能的病因，如胶原血管疾病、胸部钝性损伤或可卡因滥用，很重要。
