Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection

Overview

Journal West J Emerg Med

Specialty Emergency Medicine

Date 2012 Jan 7

PMID 22224163

Citations 1

Authors

Malford T Pillow

Ngoc Anh Nguyen

Dick Kuo

Affiliations

Soon will be listed here.

Abstract

We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of ventricular fibrillation to a perfusing sinus rhythm, and was taken to the catheterization laboratory where coronary angiography findings showed spontaneous dissection of the left anterior descending artery. The patient received a total of 6 stents during her hospital stay and was eventually discharged in good condition. Spontaneous coronary artery dissection is a rare entity with a predilection for pregnant or postpartum women. Early diagnosis and treatment are key for survival, and when identified early, mortality rate is reduced.

Citing Articles

Care of the Postpartum Patient in the Emergency Department: A Systematic Review with Implications for Maternal Mortality.

Mitchell K, Haddock A, Husainy H, Walter L, Rajapreyar I, Wingate M Am J Perinatol. 2021; 40(5):489-507.

PMID: 34327686 PMC: 10961102. DOI: 10.1055/s-0041-1732455.

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