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一名血压正常的产后女性发生自发性右冠状动脉夹层

Spontaneous Right Coronary Artery Dissection In A Normotensive Post-Partum Female.

作者信息

Ishtiaq Rizwan, Saddique Asim, Akram Ali, Arif Mariam, Muhammad Fida, Chaudhry Umer Hassan

机构信息

Bahawal Victoria Hospital, Bahawalpur, Pakistan.

District Teaching Hospital, Sargodha, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2018 Apr-Jun;30(2):280-283.

Abstract

Acute myocardial infarction following coronary artery dissection during the post-partum period is a rare entity. Greater hemodynamic stress and hormonal changes increase the risk of developing a coronary artery dissection post-partum. Herein, we report the first case of a normotensive patient from Pakistan that presented with inferior wall myocardial infarction following 10-days postpartum due to right coronary artery dissection. This article highlights the importance of prompt diagnosis and subsequent life-saving treatment.

摘要

产后冠状动脉夹层导致的急性心肌梗死是一种罕见的情况。更大的血流动力学应激和激素变化增加了产后发生冠状动脉夹层的风险。在此,我们报告了首例来自巴基斯坦的血压正常患者,该患者在产后10天因右冠状动脉夹层出现下壁心肌梗死。本文强调了及时诊断和后续挽救生命治疗的重要性。

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