PMID- 33194863
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220418
IS  - 2284-2594 (Electronic)
IS  - 2284-2594 (Linking)
VI  - 7
IP  - 11
DP  - 2020
TI  - Defining the Cause of Postpartum Myocardial Infarction - Another Use for Optical 
      Coherence Tomography.
PG  - 001854
LID - 10.12890/2020_001854 [doi]
LID - 001854
AB  - Chest pain in a young postpartum female can have many causes; however, when 
      associated with ST elevation on ECG, spontaneous coronary artery dissection 
      (SCAD) should be high on the list. Coronary angiography remains the first step in 
      delineating the coronary lesion in suspected cases of SCAD and optical coherence 
      tomography (OCT) can be crucial when the angiographic appearance remains 
      uncertain. We present a case of a young postpartum female with ST elevation 
      myocardial infarction (STEMI). Coronary angiography revealed a dilated part of 
      the middle segment of the left anterior descending (LAD) artery while intramural 
      haematoma (IMH) of the coronary artery wall was found on OCT, which confirmed the 
      clinically suspected diagnosis of SCAD. LEARNING POINTS: SCAD is a rare entity 
      and considered the most common cause of STEMI in the postpartum state.OCT is an 
      intracoronary imaging modality utilizing light waves for image acquisition with 
      high resolution, assisting in clinical decision-making regarding the 
      pathophysiological mechanism of an acute coronary syndrome (ACS).In suspected 
      cases of SCAD, coronary angiography remains the first diagnostic line and OCT can 
      be crucial in confirming an ambiguous angiographic appearance.
CI  - (c) EFIM 2020.
FAU - Alenezi, Abdullah
AU  - Alenezi A
AD  - Adult Cardiology Department, Chest Diseases Hospital, Kuwait.
FAU - Alsaddah, Jadan
AU  - Alsaddah J
AD  - Adult Cardiology Department, Chest Diseases Hospital, Kuwait.
FAU - Maadarani, Ossama
AU  - Maadarani O
AD  - Internal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, Kuwait.
LA  - eng
PT  - Journal Article
DEP - 20200817
PL  - Italy
TA  - Eur J Case Rep Intern Med
JT  - European journal of case reports in internal medicine
JID - 101648453
PMC - PMC7654992
OTO - NOTNLM
OT  - Spontaneous coronary artery dissection
OT  - optical coherence tomography
OT  - postpartum
COIS- Conflicts of Interests: The Authors declare that there are no competing 
      interests.
EDAT- 2020/11/17 06:00
MHDA- 2020/11/17 06:01
PMCR- 2020/08/17
CRDT- 2020/11/16 08:53
PHST- 2020/06/30 00:00 [received]
PHST- 2020/07/13 00:00 [accepted]
PHST- 2020/11/16 08:53 [entrez]
PHST- 2020/11/17 06:00 [pubmed]
PHST- 2020/11/17 06:01 [medline]
PHST- 2020/08/17 00:00 [pmc-release]
AID - 1854-1-15856-2-10-20200817 [pii]
AID - 10.12890/2020_001854 [doi]
PST - epublish
SO  - Eur J Case Rep Intern Med. 2020 Aug 17;7(11):001854. doi: 10.12890/2020_001854. 
      eCollection 2020.