Critical Insights Into the Management of Postpartum Left Main Spontaneous Coronary Artery Dissection: Current Strategies and Future Directions

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 9; p. e44622
• Main Authors: Rathi, Arya C, Nagtode, Nikhilesh, Chandra, Vaibhav, Pathade, Aniket G, Yelne, Seema
• Format: Journal Article
• Language: English
• Published: Palo Alto Cureus Inc 03.09.2023; Cureus
• Subjects: Childbirth & labor; Internal Medicine; Medical diagnosis; Medical Education; Medical imaging; Postpartum period; Public Health; Veins & arteries; Womens health
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.44622

This review article delves into the multifaceted realm of postpartum left main spontaneous coronary artery dissection (PLMSCAD), an infrequent yet critical condition affecting women during the postpartum period. Through a comprehensive exploration of its pathophysiology, clinical presentation, diagnosis, management strategies, and future directions, this review provides a holistic understanding of PLMSCAD's complexities. The article highlights challenges in diagnosis due to overlapping symptoms and underscores the significance of prompt recognition and tailored interventions. Current management strategies, encompassing medical and interventional approaches, are analysed in the context of their short-term and long-term impact on patient outcomes. Ethical considerations and the role of patient education and support networks are explored, shedding light on the broader psychosocial dimensions of PLMSCAD management. As emerging research reveals insights into genetic influences, hormonal dynamics, and the prognosis of affected individuals, this review emphasises the necessity of collaborative research endeavours and data sharing to enhance our understanding and guide future strategies. Ultimately, this review underscores the urgency of addressing the unique needs of women experiencing PLMSCAD, urging ongoing research, multidisciplinary collaboration, and a patient-centred approach to optimise maternal health outcomes and well-being.