coronary artery dissection

Epidemiology

• spontaneous coronary artery dissection is the most common cause of pregnancy- associated myocardial infarction

Clinical manifestations

• occurs during pregnancy or in the 1st month post-partum

Diagnostic procedures

• electrocardiogram
  • may show ST-segment elevation myocardial infarction

Radiology

• coronary CT angiography or coronary angiography

Differential diagnosis

• coronary artery aneurysm with subsequent coronary artery thrombosis
  • most common complication of Kawasaki disease

Management

• if ST-segment elevation, percutaneous coronary intervention indicated

More general terms

• arterial dissection
• pregnancy disorder; obstetric disorder; pregnancy complication