title: Acute myocardial infarction caused by spontaneous postpartum coronary artery dissection.
abstract: BACKGROUND
  A 34-year-old postpartum woman presented at hospital with chest pain. She had experienced an uneventful delivery of a healthy infant and had no known coronary risk factors. Electrocardiography demonstrated an acute myocardial infarction, which resolved on intravenous glyceryl trinitrate infusion. Coronary angiography revealed diffuse narrowing of the left anterior descending artery and tapering of the left main trunk, but there were no obvious hallmarks of intimal dissection.
  
  
  METHODS
  Electrocardiography, coronary angiography, multidetector CT and intravascular ultrasonography.
  
  
  METHODS
  Postpartum coronary artery dissection.
  
  
  RESULTS
  The lesion was stabilized with orally administered amlodipine, aspirin, ticlopidine and pitavastatin, along with intravenous heparin and glyceryl trinitrate. The patient was later discharged on bisoprolol, aspirin, pitavastatin and temocapril.
authors.affiliation: Cardiac Catheterization Laboratories, Ogaki Municipal Hospital, Ogaki, Japan. masahikosatoda@hotmail.com
authors.forename: Masahiko
authors.initials: M
authors.lastname: Satoda
authors.forename: Kensuke
authors.initials: K
authors.lastname: Takagi
authors.forename: Michitaka
authors.initials: M
authors.lastname: Uesugi
authors.forename: Itsuro
authors.initials: I
authors.lastname: Morishima
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Mukawa
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Tsuboi
authors.forename: Takahito
authors.initials: T
authors.lastname: Sone
mesh_terms: D000328:Adult; D019412:Anatomy, Cross-Sectional; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications* / Q000175:diagnosis*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology*; D049590:Postpartum Period; D012422:Rupture, Spontaneous / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional