Ryshten Najibullah, Janssens Luc, Ector Bavo
Department of Cardiology, Imelda Hospital, Bonheiden, Belgium.
J Cardiol Cases. 2013 Dec 12;9(2):80-83. doi: 10.1016/j.jccase.2013.10.005. eCollection 2014 Feb.
Spontaneous coronary artery dissection is a rare cause of myocardial infarction in young, otherwise healthy people. We present a case report of a 37-year-old woman, without cardiovascular risk factors, who survived a major acute myocardial infarction due to multi-vessel spontaneous coronary artery dissection which was complicated by cardiogenic shock in the third week postpartum. She fully recovered with medical therapy in combination with angioplasty. < Acute myocardial infarction (AMI) during pregnancy and postpartum is a rare but often catastrophic event and spontaneous coronary artery dissection is the most frequent cause of AMI in this population. Because of the high mortality rate, it is important to recognize this entity in the early stage of presentation. Coronary angiography remains the golden standard and should be performed without hesitation in unstable patients.>.
自发性冠状动脉夹层是年轻且无其他健康问题人群发生心肌梗死的罕见原因。我们报告一例37岁女性病例，该患者无心血管危险因素，因多支血管自发性冠状动脉夹层导致严重急性心肌梗死，在产后第三周并发心源性休克。她通过药物治疗联合血管成形术完全康复。<妊娠和产后期间的急性心肌梗死（AMI）是一种罕见但往往具有灾难性的事件，自发性冠状动脉夹层是该人群中AMI最常见的原因。由于死亡率高，在疾病早期识别该病症很重要。冠状动脉造影仍是金标准，对于不稳定患者应毫不犹豫地进行。>
