Article Figures & Data
Figures
- Figure 1.
Prehospital electrocardiogram (ECG) demonstrating atrial fibrillation and acute lateral ST-elevation myocardial infarction with reciprocal changes in the inferior leads.
- Figure 2.
Emergency Department electrocardiogram (ECG) demonstrating return of regular sinus rhythm and evolving antero-spetal ST-elevation myocardial infarction.
- Figure 3.
Emergent cardiac catheterization angiogram demonstrating no flow through the left main, left anterior descending and diagonal coronary ateries.
Tables
Case Age (years) Timing of SPCAD Cardiac Risk Factors 1 38 28 days postpartum None 2 26 34 weeks gestation None 3 34 7 days postpartum None 4 31 8 days postpartum None 5 30 5 days postpartum HL 6 26 90 days postpartum None 7 52 10 days postpartum None 8 37 21 days postpartum None 9 26 14 days postpartum Smoker 10 33 10 days postpartum NR 11 34 34 weeks gestation HTN, smoker 12 41 8 days postpartum None 13 32 34 weeks gestation FH, HTN, smoker 14 32 63 days postpartum FH 15 35 11 days postpartum Smoker 16 34 35 days postpartum None 17 34 7 days postpartum None 18 34 32 weeks gestation None 19 36 36 weeks gestation None 20 31 30 days postpartum NR 21 29 4 days postpartum None 22 38 14 days postpartum None 23 34 84 days postpartum None 24 31 3 days postpartum None 25 37 8 days postpartum FH 26 23 60 days postpartum Smoker 27 38 34 weeks gestation FH, HL 28 39 7 days postpartum None 29 22 10 days postpartum Smoker, HL 30 36 34 weeks gestation None 31 37 60 days postpartum None 32 33 26 weeks gestation Smoker 33 33 26 weeks gestation NR 34 31 8 days postpartum None 35 35 14 days postpartum HTN 36 32 3 days postpartum None 37 37 days postpartum None 38 24 35 weeks gestation None 39 36 28 days postpartum FH 40 34 5 days postpartum Smoker 41 NR 36 weeks gestation None 42 40 7 days postpartum None 43 32 7 days postpartum HTN 44 37 4 days postpartum Smoker 45 29 23 weeks gestation None 46 34 84 days postpartum FH 47 25 5 days postpartum None -
FH, family history; HL, hyperlipidemia; HTN, hypertension; NR, not reported; SPCAD, spontaneous peripartum coronary artery dissection.
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- Table 2.
Patient Complaints, Electrocardiogram (ECG) Changes, Culprit Vessel(s), and Treatment
Case Presenting Complaint/Status Type of AMI Culprit Vessel(s) Treatment 1 Chest pain STEMI LAD, LCX IABP, PCI (×2) 2 Chest pain STEMI Left main IABP, CABG 3 Chest pain STEMI LAD PCI (×2) 4 Chest pain NSTEMI RCA PCI 5 Chest pain, HDI STEMI LAD Lytics, IABP, PCI, transplant 6 Chest pain STEMI LAD Medical 7 Chest pain STEMI Left main, LAD, RCA, LCX IABP, CABG 8 Chest pain STEMI LCX Medical 9 Chest pain, SOB NSTEMI LAD CABG 10 Chest pain, diaphoresis STEMI RCA PCI 11 Chest pain, diaphoresis, SOB STEMI Left main, LAD, LCX CABG 12 Chest pain STEMI Distal branches Medical 13 Chest pain, diaphoresis, SOB, SLCP NSTEMI LAD Medical 14 Chest pain NSTEMI LAD, LCX PCI 15 Chest pain, SLCP STEMI LAD Medical 16 Chest pain, SLCP STEMI Left main, LAD Medical 17 Chest pain NSTEMI LAD Medical 18 Chest pain, SOB, HDI STEMI RCA PCI (×2) 19 Chest pain, HDI STEMI LAD IABP, CABG 20 Chest pain STEMI Left main Lytics, IABP, CABG, transplant 21 Chest pain, SOB, HDI STEMI Left main, LAD, LCX IABP, CABG 22 Chest pain, diaphoresis AMI Left main, LAD CABG 23 Chest pain, diaphoresis, SOB STEMI Left main IABP, CABG 24 Not reported AMI Left main, LAD PCI 25 Chest pain, diaphoresis, SOB STEMI Left main, LAD CABG 26 Chest pain, diaphoresis, SOB, HDI STEMI Left main, LAD, LCX IABP, PCI 27 Chest pain, SOB STEMI LAD Medical 28 Chest pain, diaphoresis, SOB NSTEMI LAD, RCA, LCX Medical 29 Chest pain NSTEMI LAD Medical 30 Chest pain, diaphoresis, HDI STEMI RCA PCI 31 Chest pain, SLCP STEMI LAD Medical, lytics 32 Chest pain NSTEMI Left main IABP, CABG 33 Chest pain, SLCP, HDI STEMI Left main, LAD, LCX IABP, CABG 34 Chest pain STEMI LAD Medical 35 Chest pain, diaphoresis, SOB STEMI LAD Lytics, IABP, PCI 36 Chest pain, SOB STEMI Left main CABG 37 Not reported AMI LAD Lytics, PCI 38 Chest pain AMI LAD Medical 39 Chest pain, diaphoresis, SOB STEMI LAD Medical 40 Chest pain STEMI LAD PCI 41 Chest pain, diaphoresis, SOB, HDI STEMI RCA PCI 42 Chest pain, diaphoresis, HDI STEMI LAD PCI 43 Chest pain, SOB, HDI STEMI Left main IABP, CABG 44 Chest pain AMI LAD, LCX PCI, CABG 45 Chest pain STEMI LAD, RCA PCI 46 Chest pain, SLCP STEMI Left main, LAD IABP, CABG 47 Chest pain, HDI, SOB STEMI Left main, LAD IABP, CABG, LVAD, transplant -
AMI, acute myocardial infarction (ST segment changes not specified); CABG, coronary artery bypass graft; HDI, hemodynamic instability; IABP, intra-aortic balloon pump; LAD, left anterior descending; LVAD, left ventricular assist device; LCX, left circumflex; NSTEMI, non-ST elevation myocardial infarction; PCI, percutaneous intervention; RCA, right coronary artery; SOB, shortness of breath; SLCP, self-limited chest pain; STEMI, ST elevation myocardial infarction.
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