• J Invasive Cardiol · Aug 2013

    Review Case Reports

    Cocaine-induced postpartum coronary artery dissection: a case report and 80-year review of literature.

    • Pavan K Katikaneni, Nuri I Akkus, Neeraj Tandon, and Kalgi Modi.
    • Department of Cardiology, Louisiana State University Health Sciences Center in Shreveport, Shreveport, LA 71103, USA. pkatik@lsuhsc.edu
    • J Invasive Cardiol. 2013 Aug 1;25(8):E163-6.

    AbstractThe incidence of cocaine-induced myocardial infarction (MI) in pregnancy is unknown. During the peripartum period, cocaine-abusing women are highly susceptible to MI caused by the effect of cocaine on a heart that is already stressed by hemodynamic changes of pregnancy. MI is an infrequent event during pregnancy and the peripartum period, with an estimated rate of 1 in 16,000 patients. Spontaneous coronary artery dissection (SCAD) can account for up to 27% of pregnancy-related MIs. We describe a case of MI diagnosed by increased troponin I levels in a postpartum patient with recent crack cocaine use in the setting of SCAD that required percutaneous coronary intervention of the left anterior descending and diagonal arteries. We also provide a comprehensive review of published literature related to this clinical entity.

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