Lee Carolyn, Saw Jacqueline
Division of Cardiology, Vancouver General Hospital, Vancouver, BC, Canada.
Cardiovasc Diagn Ther. 2018 Aug;8(4):512-515. doi: 10.21037/cdt.2018.06.02.
Spontaneous coronary artery dissection (SCAD) is an elusive cardiovascular disease that is increasingly recognized. Classically, pregnancy had been perceived as a notable risk factor for SCAD. However, modern studies had revealed that pregnancy-associated SCAD (PASCAD) accounted for fewer cases than previously thought. The majority of PASCAD cases occur in women post-partum. We describe a case of a 30-year-old woman who presented with SCAD while 10 days pregnant, which is the earliest PASCAD case reported in the literature.
自发性冠状动脉夹层（SCAD）是一种难以捉摸但日益被认识到的心血管疾病。传统上，怀孕一直被视为SCAD的一个显著危险因素。然而，现代研究表明，与怀孕相关的SCAD（PASCAD）病例比以前认为的要少。大多数PASCAD病例发生在产后女性身上。我们描述了一名30岁女性的病例，她在怀孕10天时出现了SCAD，这是文献中报道的最早的PASCAD病例。
