Nature clinical practice. Cardiovascular medicine · 2007
Acute myocardial infarction caused by spontaneous postpartum coronary artery dissection.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Satoda Masahiko, Takagi Kensuke, Uesugi Michitaka, Morishima Itsuro, Mukawa Hiroaki, Tsuboi Hideyuki, Sone Takahito
Аннотация
BACKGROUND: A 34-year-old postpartum woman presented at hospital with chest pain. She had experienced an uneventful delivery of a healthy infant and had no known coronary risk factors. Electrocardiography demonstrated an acute myocardial infarction, which resolved on intravenous glyceryl trinitrate infusion. Coronary angiography revealed diffuse narrowing of the left anterior descending artery and tapering of the left main trunk, but there were no obvious hallmarks of intimal dissection.
INVESTIGATIONS: Electrocardiography, coronary angiography, multidetector CT and intravascular ultrasonography.
DIAGNOSIS: Postpartum coronary artery dissection.
MANAGEMENT: The lesion was stabilized with orally administered amlodipine, aspirin, ticlopidine and pitavastatin, along with intravenous heparin and glyceryl trinitrate. The patient was later discharged on bisoprolol, aspirin, pitavastatin and temocapril.
INVESTIGATIONS: Electrocardiography, coronary angiography, multidetector CT and intravascular ultrasonography.
DIAGNOSIS: Postpartum coronary artery dissection.
MANAGEMENT: The lesion was stabilized with orally administered amlodipine, aspirin, ticlopidine and pitavastatin, along with intravenous heparin and glyceryl trinitrate. The patient was later discharged on bisoprolol, aspirin, pitavastatin and temocapril.