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Spontaneous coronary artery dissection in the postpartum period

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Abstract

Spontaneous coronary artery dissection is a very uncommon cause of acute coronary syndrome. It occurs predominantly in young to middle-aged women during or after pregnancy. The aetiology remains uncertain. Possible factors are hormonal changes, haemodynamic stress and changes in autoimmune status. In case of single-vessel dissection and normal blood flow, conservative treatment often leads to complete angiographic resolution. This case report describes the clinical presentation, diagnosis and therapy of spontaneous coronary artery dissection in a 37-year-old woman in the postpartum period. (Neth Heart J 2008;16: 412-4.)

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Department of Cardiology, Amphia Hospital, Breda; currently working at St Anthonius Hospital, Nieuwegein, the Netherlands

Department of Cardiology, Amphia Hospital, Breda, the Netherlands

Department of Cardiology, Amphia Hospital, PO Box 90158, 4800 RK, Breda, the Netherlands

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Van den Branden, B.J.L., Bruggeling, W.A.J. & Dunselman, P.H.J.M. Spontaneous coronary artery dissection in the postpartum period. NHJL 16, 412–414 (2008). https://doi.org/10.1007/BF03086188

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  • DOI: https://doi.org/10.1007/BF03086188

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