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.
Keyphrases
- coronary artery
- subarachnoid hemorrhage
- pulmonary artery
- coronary artery disease
- brain injury
- liver failure
- cerebral ischemia
- palliative care
- aortic stenosis
- heart rate variability
- respiratory failure
- intensive care unit
- transcatheter aortic valve replacement
- drug induced
- acute respiratory distress syndrome
- aortic valve
- chronic pain