Rathi Arya C, Nagtode Nikhilesh, Chandra Vaibhav, Pathade Aniket G, Yelne Seema
Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Sep 3;15(9):e44622. doi: 10.7759/cureus.44622. eCollection 2023 Sep.
This review article delves into the multifaceted realm of postpartum left main spontaneous coronary artery dissection (PLMSCAD), an infrequent yet critical condition affecting women during the postpartum period. Through a comprehensive exploration of its pathophysiology, clinical presentation, diagnosis, management strategies, and future directions, this review provides a holistic understanding of PLMSCAD's complexities. The article highlights challenges in diagnosis due to overlapping symptoms and underscores the significance of prompt recognition and tailored interventions. Current management strategies, encompassing medical and interventional approaches, are analysed in the context of their short-term and long-term impact on patient outcomes. Ethical considerations and the role of patient education and support networks are explored, shedding light on the broader psychosocial dimensions of PLMSCAD management. As emerging research reveals insights into genetic influences, hormonal dynamics, and the prognosis of affected individuals, this review emphasises the necessity of collaborative research endeavours and data sharing to enhance our understanding and guide future strategies. Ultimately, this review underscores the urgency of addressing the unique needs of women experiencing PLMSCAD, urging ongoing research, multidisciplinary collaboration, and a patient-centred approach to optimise maternal health outcomes and well-being.
这篇综述文章深入探讨了产后左主干自发性冠状动脉夹层（PLMSCAD）这一多方面的领域，这是一种在产后影响女性的罕见但严重的病症。通过全面探究其病理生理学、临床表现、诊断、管理策略及未来方向，本综述对PLMSCAD的复杂性提供了全面的理解。文章强调了因症状重叠导致的诊断挑战，并突出了及时识别和针对性干预的重要性。在其对患者预后的短期和长期影响的背景下，分析了包括医学和介入方法在内的当前管理策略。探讨了伦理考量以及患者教育和支持网络的作用，揭示了PLMSCAD管理中更广泛的社会心理层面。随着新出现的研究揭示了基因影响、激素动态以及受影响个体的预后情况，本综述强调了合作研究努力和数据共享的必要性，以增进我们的理解并指导未来策略。最终，本综述强调了满足患有PLMSCAD的女性独特需求的紧迫性，敦促进行持续研究、多学科合作以及以患者为中心的方法，以优化孕产妇健康结果和福祉。
