STEMI in a Young Female? Consider Spontaneous Peripartum Coronary Artery Dissection

Authors

Kenn Ghaffarian
Molly Furin
Robert A. Bassett, Philadelphia College of Osteopathic MedicineFollow

Document Type

Article

Publication Date

2-2017

Abstract

Spontaneous peripartum coronary artery dissection is a rare but potentially devastating event in premenopausal young women that is not discussed in core emergency medicine textbooks. It often presents as a ST-segment elevation myocardial infarction. It is a critical diagnosis which requires immediate interventions including medical therapy, percutaneous intervention, and even coronary artery bypass grafting. However, thrombolytics should be avoided. These 2 cases highlight some of the presenting features, electrocardiogram, and treatments of this rare but clinically important disease.

Publication Title

American Journal of Emergency Medicine

Volume

35

Issue

2

First Page

381.e1

Last Page

384.e4

Comments

This article was published in The American Journal of Emergency Medicine, Volume 35, Issue 2, Pages 381.e1-384.e4.

The published version is available at http://dx.doi.org/10.1016/j.ajem.2016.08.064.

Copyright © 2017.

Recommended Citation

Ghaffarian, Kenn; Furin, Molly; and Bassett, Robert A., "STEMI in a Young Female? Consider Spontaneous Peripartum Coronary Artery Dissection" (2017). PCOM Scholarly Works. 1829.
https://digitalcommons.pcom.edu/scholarly_papers/1829