Defining the Cause of Postpartum Myocardial Infarction – Another Use for Optical Coherence Tomography

Alenezi, Abdullah and Alsaddah, Jadan and Maadarani, Ossama (2020) Defining the Cause of Postpartum Myocardial Infarction – Another Use for Optical Coherence Tomography. European Journal of Case Reports in Internal Medicine, 7 (11). pp. 1-4. ISSN ISSN: 2284-2594

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Abstract

Chest pain in a young postpartum female can have many causes; however, when associated with ST elevation on ECG, spontaneous coronary artery dissection (SCAD) should be high on the list. Coronary angiography remains the first step in delineating the coronary lesion in suspected cases of SCAD and optical coherence tomography (OCT) can be crucial when the angiographic appearance remains uncertain. We present a case of a young postpartum female with ST elevation myocardial infarction (STEMI). Coronary angiography revealed a dilated part of the middle segment of the left anterior descending (LAD) artery while intramural haematoma (IMH) of the coronary artery wall was found on OCT, which confirmed the clinically suspected diagnosis of SCAD.

Item Type: Article
Uncontrolled Keywords: Spontaneous coronary artery dissection, optical coherence tomography, postpartum
Subjects: 600 Tecnologia - Scienze applicate
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Marina Spanti
Date Deposited: 15 Dec 2021 14:12
Last Modified: 15 Dec 2021 14:12
URI: http://eprints.bice.rm.cnr.it/id/eprint/21045

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