Rahman Saad Ur, Gill Seemab Imtiaz, Rana Muhammad U
Internal Medicine, Carle Illinois College of Medicine, Urbana, USA.
Internal Medicine, Carle Foundation Hospital, Urbana, USA.
Cureus. 2024 Sep 18;16(9):e69642. doi: 10.7759/cureus.69642. eCollection 2024 Sep.
Spontaneous coronary artery dissection (SCAD) is an uncommon form of non-atherosclerotic coronary artery disease, characterized by a sudden tear in coronary artery layers. Pregnancy-associated SCAD (P-SCAD) is a rare variant occurring during pregnancy or postpartum. We present a case of P-SCAD in a 31-year-old postpartum female who experienced generalized tonic-clonic seizures along with ventricular fibrillation. Despite its rarity, P-SCAD should be considered in postpartum females with atypical symptoms, such as seizures or ventricular fibrillation. This case underscores the need for heightened clinical suspicion and timely intervention to manage P-SCAD effectively. Early recognition can lead to improved patient outcomes and appropriate management strategies, ranging from conservative approaches to percutaneous interventions or implantable cardioverter-defibrillator placement.
自发性冠状动脉夹层（SCAD）是一种罕见的非动脉粥样硬化性冠状动脉疾病，其特征是冠状动脉各层突然撕裂。妊娠相关的SCAD（P-SCAD）是在妊娠期间或产后发生的一种罕见变异型。我们报告一例31岁产后女性发生P-SCAD的病例，该患者出现了全身强直阵挛性发作并伴有心室颤动。尽管P-SCAD罕见，但对于有非典型症状（如癫痫发作或心室颤动）的产后女性应考虑到该病。该病例强调了提高临床怀疑度并及时干预以有效管理P-SCAD的必要性。早期识别可改善患者预后并制定适当的管理策略，范围从保守方法到经皮介入治疗或植入式心脏复律除颤器植入。
