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Postpartum Coronary Arterial Spasm.

Sameh Askandar¹, David Flatt², Daniela Rosu³

¹Baptist Memorial Hospital/Church Health, Department of Family Medicine - Memphis, TN.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society

|August 30, 2017

Summary

This summary is machine-generated.

Postpartum acute coronary syndrome (ACS) is rare but treatable. This case highlights coronary vasospasm as a cause, successfully managed with nitroglycerin and verapamil, emphasizing prompt diagnosis and treatment.

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Area of Science:

Cardiology
Obstetrics
Emergency Medicine

Background:

Acute coronary syndrome (ACS) is uncommon during the postpartum period.
This case presents a rare instance of ACS in a postpartum patient without typical risk factors like smoking or medication use.

Observation:

A 26-year-old woman presented with sudden chest pain and ST-segment elevation on day five postpartum.
Coronary angiography revealed multifocal coronary artery spasm.

Findings:

Intracoronary administration of nitroglycerin and verapamil effectively relieved the coronary vasospasm.
The patient recovered uneventfully and was discharged in stable condition.

Implications:

Coronary vasospasm should be considered in the differential diagnosis of peripartum chest pain.
Prompt diagnosis and treatment of peripartum ACS are critical.
Nitrates, potentially with calcium channel blockers, are key for managing vasospastic coronary disease recurrence and prevention.