TY - JOUR
T1 - Spontaneous coronary artery dissection in a postpartum e-cigarette smoker
AU - Ahmed, Navid
AU - Kalininskiy, Aleksandr
AU - Gandhi, Himali
AU - Shin, Jooyoung Julia
N1 - Publisher Copyright:
© 2018 BMJ Publishing Group Ltd. All rights reserved.
PY - 2018
Y1 - 2018
N2 - Spontaneous coronary artery dissection (SCAD) is a rare but lethal cause of acute coronary syndrome that occurs in young women during the peripartum/postpartum periods. We present a case of a 41-year-old woman with no significant medical history, but was a habitual e-cigarette smoker who presented with atypical chest pain 2 weeks after an uncomplicated delivery while breast feeding. The patient was found to have elevated cardiac enzymes and ST segment elevations in the anterior leads. An urgent cardiac catheterisation was performed, which revealed dissection and occlusion of the left anterior descending artery, and a drug-eluting stent was placed that resulted in the resolution of chest pain. Physiological changes during the postpartum period may be linked to an increased risk of developing SCAD. 1 In addition, e-cigarette smoking is associated with increased oxidative stress and sympathetic activity, which may predispose patients to an increased risk of acute coronary syndrome.
AB - Spontaneous coronary artery dissection (SCAD) is a rare but lethal cause of acute coronary syndrome that occurs in young women during the peripartum/postpartum periods. We present a case of a 41-year-old woman with no significant medical history, but was a habitual e-cigarette smoker who presented with atypical chest pain 2 weeks after an uncomplicated delivery while breast feeding. The patient was found to have elevated cardiac enzymes and ST segment elevations in the anterior leads. An urgent cardiac catheterisation was performed, which revealed dissection and occlusion of the left anterior descending artery, and a drug-eluting stent was placed that resulted in the resolution of chest pain. Physiological changes during the postpartum period may be linked to an increased risk of developing SCAD. 1 In addition, e-cigarette smoking is associated with increased oxidative stress and sympathetic activity, which may predispose patients to an increased risk of acute coronary syndrome.
KW - cardiovascular medicine
KW - interventional cardiology
KW - obstetrics and gynaecology
KW - pregnancy
KW - reproductive medicine
UR - http://www.scopus.com/inward/record.url?scp=85048101669&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048101669&partnerID=8YFLogxK
U2 - 10.1136/bcr-2018-225194
DO - 10.1136/bcr-2018-225194
M3 - Article
C2 - 29866694
AN - SCOPUS:85048101669
SN - 1757-790X
VL - 2018
JO - BMJ case reports
JF - BMJ case reports
M1 - 225194
ER -