title: Coronary artery spasm: Is ST-elevation key for diagnosis?
abstract: Coronary vasospasm is uncommon during pregnancy and the postpartum period. We present a very rare case of an acute coronary vasospasm in a 36-year-old woman who was two weeks postpartum. The coronary arteriograms showed a coronary vasospasm in the distal left anterior descending and circumflex coronary arteries. Electrocardiogram (ECG) presentation was atypical, with T-wave inversions in leads I, aVL, and V2 to V6. To our knowledge, this is the first case with a well-documented coronary artery vasospasm in a postpartum woman without the classic ST elevation on ECG. Management should follow the usual principles of care for acute coronary vasospasm.
authors.affiliation: a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.
authors.forename: Pedro A
authors.initials: PA
authors.lastname: Villablanca
authors.affiliation: a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.
authors.forename: David F
authors.initials: DF
authors.lastname: Briceno
authors.affiliation: a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.
authors.forename: Anand D
authors.initials: AD
authors.lastname: Jagannath
authors.affiliation: a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.
authors.forename: Martin
authors.initials: M
authors.lastname: Cohen
authors.affiliation: a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Pyo
mesh_terms: D000328:Adult; D017023:Coronary Angiography / Q000379:methods; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D003937:Diagnosis, Differential; D016903:Drug Monitoring; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D006801:Humans; D009529:Nicardipine / Q000008:administration & dosage*; D005996:Nitroglycerin / Q000008:administration & dosage*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000008:administration & dosage
chemical_list: D014665:Vasodilator Agents; D009529:Nicardipine; D005996:Nitroglycerin
keywords: Coronary vasospasm; ST elevation; postpartum