Spontaneous dissection of native coronary arteries

• Published in: Heart (British Cardiac Society) Vol. 91; no. 2; pp. 223 - 224
• Main Authors: Butler, R, Webster, M W I, Davies, G, Kerr, A, Bass, N, Armstrong, G, Stewart, J T, Ruygrok, P, Ormiston, J
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd and British Cardiovascular Society 01.02.2005; BMJ Publishing Group LTD; Copyright 2005 by Heart
• Subjects: Adult; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - therapy; Angina pectoris; Coronary Aneurysm - diagnostic imaging; Coronary Aneurysm - therapy; Coronary Angiography - methods; coronary arteries; coronary dissection; Female; Heart attacks; Humans; Male; Middle Aged; Scientific Letters; Stents; Veins & arteries; Womens health
• ISSN: 1355-6037; 1468-201X
• DOI: 10.1136/hrt.2003.014423

Peripartum women may be at increased risk on two accounts: changes in blood flow increasing shear stress, and progesterone driven vessel wall changes which may predispose to coronary dissection. 4 The suggestion of increased risk in this group was not seen in our series. [...]SCAD is a rare condition usually presenting as an acute coronary syndrome and should be considered in younger patients, especially those who develop chest pain in pregnancy or in the postpartum period.