Spontaneous Coronary Artery Dissection in Pregnancy: What Every Obstetrician Should Know

Elisabeth Codsi, Marysia Tweet, Carl Hans Rose, Katherine W. Arendt, Patricia Best, Sharonne N. Hayes

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Spontaneous coronary artery dissection is a major cause of myocardial infarction in pregnancy and the postpartum period. It occurs predominantly in young women with few or no conventional risk factors for atherosclerosis and has been clinically underrecognized. Treatment differs from that of myocardial infarction as a result of atherosclerosis and the diagnosis should be considered in all parturient and postpartum patients with acute coronary syndrome. Complications of spontaneous coronary artery dissection include recurrence, congestive heart failure, and death. Thus, specialist obstetrician–gynecologists and maternal–fetal medicine specialists need to gain knowledge of spontaneous coronary artery dissection to improve outcomes.

Original languageEnglish (US)
JournalObstetrics and Gynecology
DOIs
StateAccepted/In press - Sep 5 2016

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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