The Journal of the Arkansas Medical Society
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Spontaneous coronary artery dissection is an unusual cause of acute coronary syndrome, most commonly seen in the peripartum patient with no overt cardiovascular risk factors. Hormonal and hemodynamic changes play a role in the pathogenesis. ⋯ She had an emergency caesarean section due to fetal decelerations and was subsequently diagnosed with a left main dissection on angiography. Management included conservative measures followed by coronary artery bypass graft.
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Exposure to drugs is unfortunately common among high school students and its use has been linked to depression and suicide risk. We used the 2011 Arkansas Youth Risk Behavior Survey to estimate the prevalence of drug abuse and to measure its association with teen suicidality. Three types of substance misuse were reported by more than 10% of Arkansas high school students: cannabis (33.3% ever use). inhalants (18.7% ever use). and prescription drugs without a prescription (13.2% ever use). We found in all suicide outcomes a stronger association with prescription drug abuse, followed by inhalant abuse, then cannabis abuse.