产后自发性冠状动脉夹层的临床考量：一例病例报告
Clinical considerations during spontaneous coronary artery dissection in the post-partum period: a case report.
作者信息
Schamroth Pravda Nili, Houri Ohad, Kornowski Ran, Porter Avital
机构信息
Department of Cardiology, Rabin Medical Center, Beilinson Hospital, 39 Jabotinsky Street, Petach Tikva 49100, Israel.
The Faculty of Medicine, Tel Aviv University, 35 Klatchkin Street, Tel Aviv 6997801, Israel.
出版信息
Eur Heart J Case Rep. 2023 Aug 18;7(8):ytad406. doi: 10.1093/ehjcr/ytad406. eCollection 2023 Aug.
BACKGROUND
Spontaneous coronary artery dissection (SCAD) is a common and under-recognized cause of myocardial infarction during the post-partum period.
CASE SUMMARY
We report a case of a young women presenting with chest pain in the post-partum period. Her clinical appearance was that of a myocardial infarction, and angiography was indicative of a Type 2 SCAD. The patients had persistent chest pain, reduced left ventricular function, and critical left anterior descending artery stenosis. Percutaneous coronary intervention was done with caution. Shared decision-making with the patient helped guide the medical treatment plan and follow-up.
DISCUSSION
We discuss the clinical considerations surrounding the management of this patient.
背景
自发性冠状动脉夹层（SCAD）是产后心肌梗死常见且未得到充分认识的病因。
病例摘要
我们报告一例产后出现胸痛的年轻女性病例。她的临床表现为心肌梗死，血管造影显示为2型SCAD。患者持续胸痛，左心室功能减退，左前降支动脉严重狭窄。谨慎地进行了经皮冠状动脉介入治疗。与患者共同决策有助于指导治疗方案和随访。
讨论
我们讨论了围绕该患者管理的临床考虑因素。
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