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J Investig Med High Impact Case Rep · Jan 2019
Case ReportsPreeclampsia-Associated Multivessel Spontaneous Coronary Artery Dissection.
- Rajeev Virender Seecheran, Jessica Kawall, Divya Ramadhin, Valmiki Krishna Seecheran, Sangeeta Anjali Persad, Sasha Savitri Lalla, and Naveen Anand Seecheran.
- North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.
- J Investig Med High Impact Case Rep. 2019 Jan 1; 7: 2324709619874624.
AbstractPregnancy-associated spontaneous coronary artery dissection (PASCAD) accounts for less than 5% of spontaneous coronary artery dissection cases and is comparatively more fulminant or clinically aggressive. Several factors associated with PASCAD include black ethnicity, multiparity, hypertension, advanced maternal age, and age at first childbirth. This atypical case highlights a preeclamptic patient presenting with an ST-segment elevation myocardial infarction in which multivessel dissection of both the left anterior descending and right coronary arteries were deemed co-culprit lesions for the index event.
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