Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection

<p>We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of...

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Main Authors: Dick Kuo, Ngoc Anh Nguyen, Malford T Pillow
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2011-05-01
Series:Western Journal of Emergency Medicine
Subjects:
Online Access:http://escholarship.org/uc/item/4gz1s8xh
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author Dick Kuo
Ngoc Anh Nguyen
Malford T Pillow
author_facet Dick Kuo
Ngoc Anh Nguyen
Malford T Pillow
author_sort Dick Kuo
collection DOAJ
description <p>We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of ventricular fibrillation to a perfusing sinus rhythm, and was taken to the catheterization laboratory where coronary angiography findings showed spontaneous dissection of the left anterior descending artery. The patient received a total of 6 stents during her hospital stay and was eventually discharged in good condition. Spontaneous coronary artery dissection is a rare entity with a predilection for pregnant or postpartum women. Early diagnosis and treatment are key for survival, and when identified early, mortality is good. [West J Emerg Med. 2011;12(4):567–570.]</p>
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spelling doaj.art-cad9c1310bc8466ab0ec5cee4836ebda2022-12-22T01:16:53ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182011-05-01124567570Cardiac Arrest from Postpartum Spontaneous Coronary Artery DissectionDick KuoNgoc Anh NguyenMalford T Pillow<p>We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of ventricular fibrillation to a perfusing sinus rhythm, and was taken to the catheterization laboratory where coronary angiography findings showed spontaneous dissection of the left anterior descending artery. The patient received a total of 6 stents during her hospital stay and was eventually discharged in good condition. Spontaneous coronary artery dissection is a rare entity with a predilection for pregnant or postpartum women. Early diagnosis and treatment are key for survival, and when identified early, mortality is good. [West J Emerg Med. 2011;12(4):567–570.]</p>http://escholarship.org/uc/item/4gz1s8xhspontaneous coronary artery dissectioncardiac arrestpostpartum
spellingShingle Dick Kuo
Ngoc Anh Nguyen
Malford T Pillow
Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
Western Journal of Emergency Medicine
spontaneous coronary artery dissection
cardiac arrest
postpartum
title Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
title_full Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
title_fullStr Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
title_full_unstemmed Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
title_short Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection
title_sort cardiac arrest from postpartum spontaneous coronary artery dissection
topic spontaneous coronary artery dissection
cardiac arrest
postpartum
url http://escholarship.org/uc/item/4gz1s8xh
work_keys_str_mv AT dickkuo cardiacarrestfrompostpartumspontaneouscoronaryarterydissection
AT ngocanhnguyen cardiacarrestfrompostpartumspontaneouscoronaryarterydissection
AT malfordtpillow cardiacarrestfrompostpartumspontaneouscoronaryarterydissection