Alterie Jonathan, Villanueva Francis, Arekat Mohamed, Brill April
Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois.
Chicago College of Osteopathic Medicine, Downers Grove, Illinois.
Clin Pract Cases Emerg Med. 2019 May 20;3(3):229-232. doi: 10.5811/cpcem.2019.4.41305. eCollection 2019 Aug.
The postpartum population is one with a unique physiologic profile that predisposes these patients to rare and often life-threatening conditions. Herein, we discuss a case of a 37-year-old, multiparous female who presented to the emergency department with vague chest discomfort 14 days after delivering her sixth child via vaginal delivery. The patient was found to have elevated cardiac biomarkers and was ultimately diagnosed with pregnancy-related spontaneous coronary artery dissection (P-SCAD). This case report discusses the evaluation, pathophysiology, workup, and management of P-SCAD.
产后人群具有独特的生理特征，这使这些患者易患罕见且往往危及生命的疾病。在此，我们讨论一例37岁经产妇的病例，该患者在经阴道分娩第六个孩子14天后因胸部隐痛就诊于急诊科。发现该患者心脏生物标志物升高，最终被诊断为妊娠相关自发性冠状动脉夹层（P-SCAD）。本病例报告讨论了P-SCAD的评估、病理生理学、检查及管理。
